Organization
BELLA ROSENZWEIG MD SC
Active
Organization
BELLA ROSENZWEIG MD SC
Active
Parent organization
BELLA ROSENZWEIG MD SC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BELLA ROSENZWEIG MD SC
Authorized official
MRS. BELLA ROSENZWEIG MD (PRESIDENT)
(773) 465-8131
Entity
Organization
Contact information
Practice address
6212 N BROADWAY STREET, CHICAGO, IL 60660
(773) 465-8131
(773) 465-1929
Mailing address
6212 N BROADWAY STREET, CHICAGO, IL 60660
(773) 465-8131
(773) 465-1929
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1632015
BLUE CROSS BLUE SHIELD
—
01
—
242189
WELLCARE
—
01
—
6057912001
CIGNA
—
Enumeration date
04/11/2008
Last updated
04/11/2008
Update your record
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