Active NPI
Rosenbaum & Levine, M.D.,S.C.
- Internal Medicine Physician
- Chicago, IL
National Provider Identifier
1174637227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 042003915
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21606171 | Other | IL | BC/BS IL |
National Provider Directory
National Provider DirectoryLocations
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.