Individual
MR. BRUCE ROSENZWEIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
175 E DELAWARE PL APT 8909, CHICAGO, IL 60611-7754
(312) 399-2702
Mailing address
175 E DELAWARE PL APT 8909, CHICAGO, IL 60611-7754
(312) 399-2702
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036071719
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036071719
—
IL
01
—
1634815
BC IL
IL
Enumeration date
12/08/2005
Last updated
03/21/2022
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