Odonoghue & Rosenow, MDSC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036054095 Issued in IL

Legal business name

ODONOGHUE & ROSENOW, MDSC

Practice address

2850 W 95TH St
Suite 306
Evergreen Park, IL 60805-2741

Phone

(708) 422-8500

Fax

(708) 499-7872

NPI assigned

Jun 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael J Odonoghue, M.D.

Title

President

Phone

(708) 422-8500

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael R Fiorucci, MD

  • Surgery Physician
  • Evergreen Park, IL
  • NPI 1598760480
  NPD (past)
• Michael Gregory Hurtuk, M.D.

  • Surgery Physician
  • Evergreen Park, IL
  • NPI 1164678793
  NPD (past)
• Mary K Rosenow, MD, PHD

  • Surgery Physician
  • Tunnel Hill, IL
  • NPI 1023080702
  NPD (past)
• Monica L Lorimer, M.D.

  • Surgery Physician
  • Anderson, IN
  • NPI 1184619900
  NPD (past)
• Lesley Wilcoxson, M.D.

  • Emergency Medicine Physician
  • Kingsport, TN
  • NPI 1629012927
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1083816565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 W 95TH ST",
            "address_2": "SUITE 306",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052741",
            "telephone_number": "708-422-8500",
            "fax_number": "708-499-7872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 W 95TH ST",
            "address_2": "SUITE 306",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052741",
            "telephone_number": "708-422-8500",
            "fax_number": "708-499-7872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODONOGHUE & ROSENOW, MDSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "ODONOGHUE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-422-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": "036054095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036054095",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01616745",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oak Street Pharmacy
• Ejikeme O Obasi, MD
• Irwin Douglas Obispo
• Occupational Therapy Providers Inc.
• Richard E Odonnell, DO
• Kathleen Ann Odwyer, MA, MED.,LCPC, NCC
• Adedotun A. Ogunsua, M.D.
• Oliver Drabkin M.D. S.C.
• Nancy Ann Olsen, APN
• Jessica L Olson, LCPC

• Surgery Physician in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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.