Organization
BANNOCKBURN HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY L ROSENGARTEN MD (BOARD OF MANAGERS MEDICAL DIRECTOR)
(847) 249-3700
Entity
Organization
Contact information
Practice address
2151 WAUKEGAN RD, SUITE 150, BANNOCKBURN, IL 60015-1885
(847) 317-0011
(847) 317-0022
Mailing address
2151 WAUKEGAN RD, SUITE 150, BANNOCKBURN, IL 60015-1885
(847) 317-0011
(847) 317-0022
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF3140
RAILROAD MEDICARE
—
Enumeration date
03/14/2006
Last updated
04/20/2008
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