Organization
ROSENTHAL CLINIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BONITA M PEREZ (INSURANCE MANAGER)
(312) 939-4121
Entity
Organization
Contact information
Practice address
122 S MICHIGAN AVE, SUITE 1770, CHICAGO, IL 60603
(312) 939-4121
(312) 939-8011
Mailing address
122 S MICHIGAN AVE, SUITE 1770, CHICAGO, IL 60603
(312) 939-4121
(312) 939-8011
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
09/16/2006
Last updated
05/13/2008
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