Organization Active NPI

Gurnee Radiology Center, LLC

  • Diagnostic Radiology Physician
  • Gurnee, IL
National Provider Identifier
1083601314
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
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

Updated by the provider on Apr 20, 2008

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.NPI 1093792913
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)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.