Organization
OAK BROOK INSTITUTE O ENDOSCOPY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS ROTMAN MD (PRESIDENT)
(773) 564-6025
Entity
Organization
Contact information
Practice address
4646 N MARINE DR, SUITE C6100, CHICAGO, IL 60640-5759
(773) 564-6025
Mailing address
4646 N MARINE CR, SUITE C6100, CHICAGO, IL 60640-5759
(773) 564-6025
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
10/14/2010
Last updated
01/14/2011
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