Individual
DR. GARY M ROSENMUTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 N MICHIGAN AVE, SUITE 523, CHICAGO, IL 60602-3404
(312) 984-0999
Mailing address
30 N MICHIGAN AVE, SUITE 523, CHICAGO, IL 60602-3404
(312) 984-0999
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036-064263
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031601097
BCBS
IL
Enumeration date
11/17/2006
Last updated
04/20/2015
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