Individual
DR. BELLA ROSENZWEIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6212 N BROADWAY, CHICAGO, IL 60660
(773) 465-8131
(773) 465-1929
Mailing address
6212 N BROADWAY, CHICAGO, IL 60660
(773) 465-8131
(773) 465-1929
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036090182
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001632015
BLUE CROSS BLUE SHIELD
—
05
—
036090182
—
IL
Enumeration date
07/15/2006
Last updated
10/10/2011
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