Active NPI
Gurnee Radiology Center, LLC
- Diagnostic Radiology Physician
- Gurnee, IL
National Provider Identifier
1083601314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- GURNEE RADIOLOGY CENTER, LLC
- Practice address
- 25 Tower CT
Suite a
Gurnee, IL 60031-3318 - Phone
- (847) 249-3700
- Fax
- (847) 249-4880
- NPI assigned
- Oct 3, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey L. Rosengarten, M.D.
- Title
- President, Medical Director
- Phone
- (847) 249-3700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
25 Tower CT
Suite a
Gurnee, IL 60031-3318
Mailing address
25 Tower CT
Suite a
Gurnee, IL 60031-3318
Phone (847) 249-3700
National Provider Directory
National Provider DirectoryLocations
1332 E 47th St
Chicago, IL 60653
Phone (773) 624-5400
25 Tower Ct
Ste A
Gurnee, IL 60031
Phone (847) 249-3700
25 Tower Ct
#5413
Gurnee, IL 60031
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Libertyville, IL
- NPI 1093792913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1083601314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 TOWER CT",
"address_2": "SUITE A",
"city": "GURNEE",
"state": "IL",
"postal_code": "600313318",
"telephone_number": "847-249-3700",
"fax_number": "847-249-4880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 TOWER CT",
"address_2": "SUITE A",
"city": "GURNEE",
"state": "IL",
"postal_code": "600313318",
"telephone_number": "847-249-3700",
"fax_number": "847-249-4880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GURNEE RADIOLOGY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-03",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "ROSENGARTEN",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "PRESIDENT, MEDICAL DIRECTOR",
"authorized_official_telephone_number": "847-249-3700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gurnee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.