Individual
DR. RUTH B ROSENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
606 ACADEMY DR, NORTHBROOK, IL 60062-2421
(847) 559-0680
Mailing address
606 ACADEMY DR, NORTHBROOK, IL 60062-2421
(847) 559-0680
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
036-064077
IL
2084P0800X
Psychiatry Physician
Primary
036-064077
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-064077-5
—
IL
Enumeration date
09/23/2005
Last updated
09/28/2009
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