Organization Active NPI

Rosenbaum & Levine, M.D.,S.C.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1174637227
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
042003915 Issued in IL
Legal business name
ROSENBAUM & LEVINE, M.D.,S.C.
Practice address
676 N Saint Clair St Ste 1745
Chicago, IL 60611-2974
Phone
(312) 926-3600
Fax
(312) 926-3606
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Authorized official

Name
Robert A Rosenbaum, M.D.
Title
President
Phone
(312) 926-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 042003915 IL Primary

Addresses

Primary practice location

676 N Saint Clair St Ste 1745
Chicago, IL 60611-2974

Mailing address

676 N Saint Clair St Ste 1745
Chicago, IL 60611-2974
Phone (312) 926-3600

Other identifiers 1

IdentifierTypeStateIssuer
21606171OtherILBC/BS IL

National Provider Directory

National Provider Directory

Locations

201 E Huron St
Ste 12-150
Chicago, IL 60611
Phone (312) 926-3600

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550534400000",
    "number": "1174637227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST STE 1745",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112974",
            "telephone_number": "312-926-3600",
            "fax_number": "312-926-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST STE 1745",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112974",
            "telephone_number": "312-926-3600",
            "fax_number": "312-926-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSENBAUM & LEVINE, M.D.,S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2019-02-19",
        "status": "A",
        "authorized_official_last_name": "ROSENBAUM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-926-3600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "042003915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS IL",
            "identifier": "21606171",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.