NPIMap

Organization Active NPI

David I Rosen MD LTD

  • Internal Medicine Physician
  • Northbrook, IL
National Provider Identifier
1558629212
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036107376 Issued in IL
Legal business name
DAVID I ROSEN MD LTD
Practice address
950 Skokie Blvd Ste 202
Northbrook, IL 60062-4017
Phone
(847) 238-2091
Fax
(224) 523-8081
NPI assigned
May 1, 2012
Last updated
Jan 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Margaret Crawford
Title
Credentialing
Phone
(630) 924-0156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036107376 IL Primary

Addresses

Primary practice location

950 Skokie Blvd Ste 202
Northbrook, IL 60062-4017

Mailing address

950 Skokie Blvd Ste 202
Northbrook, IL 60062-4017
Phone (847) 238-2091

Other identifiers 1

IdentifierTypeStateIssuer
036107376MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120806000676 IL Part B Supplier - Clinic/Group Practice 8729234851 Receives reassigned benefits from 1 practitioner
Practice locations: Northbrook, IL

National Provider Directory

National Provider Directory

Locations

1535 Lake Cook Rd
Ste 401
Northbrook, IL 60062
Phone (847) 480-1111

950 Skokie Blvd
Ste 202
Northbrook, IL 60062
Phone (847) 238-2091

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1558629212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 SKOKIE BLVD STE 202",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624017",
            "telephone_number": "847-238-2091",
            "fax_number": "224-523-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 SKOKIE BLVD STE 202",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624017",
            "telephone_number": "847-238-2091",
            "fax_number": "224-523-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID I ROSEN MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "630-924-0156"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036107376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036107376",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.