Individual
DR. MARJORIE MINTZ ROSENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
676 N SAINT CLAIR ST, SUITE 1725, CHICAGO, IL 60611-2927
(312) 664-8533
(312) 664-8860
Mailing address
676 N SAINT CLAIR ST, SUITE 1725, CHICAGO, IL 60611-2927
(312) 664-8533
(312) 664-8860
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036-065456
IL
Other
Enumeration date
02/01/2007
Last updated
10/10/2011
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