Individual
DR. JAY H ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 S 8TH ST, WEST DUNDEE, IL 60118-2248
(847) 836-3200
(847) 836-3204
Mailing address
350 S 8TH ST, WEST DUNDEE, IL 60118-2248
(847) 836-3200
(847) 836-3204
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
036-043925
IL
174400000X
Specialist
036043925
IL
208200000X
Plastic Surgery Physician
Primary
036043925
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360439251
—
IL
Enumeration date
11/17/2006
Last updated
11/13/2019
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