Individual
DR. ITAI ROZOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
113 MCHENRY RD STE 240, BUFFALO GROVE, IL 60089-1796
(224) 770-1503
(609) 739-8440
Mailing address
113 MCHENRY RD STE 240, BUFFALO GROVE, IL 60089-1796
(224) 770-1503
(609) 739-8440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD035598E
PA
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
036083229
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102603212
—
PA
Enumeration date
03/08/2010
Last updated
12/11/2020
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