Individual
JONATHAN ROSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1917 CHERRY LN., NORTHBROOK, IL 60062
(847) 564-2020
(847) 564-2064
Mailing address
6233 CERMAK RD, BERWYN, IL 60402-2317
(708) 749-2020
(708) 749-2069
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036-090878
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001622078
BLUE CROSS BLUE SHEILD
IL
05
—
036090878
—
IL
Enumeration date
10/26/2006
Last updated
07/08/2007
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