Enrica Rossi MD SC Corporation

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036095803 Issued in IL

Legal business name

ENRICA ROSSI MD SC CORPORATION

Practice address

1044 N Francisco Ave
Chicago, IL 60622-2743

Phone

(312) 371-3588

NPI assigned

Sep 20, 2006

Last updated

Aug 28, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Enrica RossiNPI 1790775997

Title

Owner

Phone

(312) 371-3588

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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.

• Enrica Rossi, MD

  • Ophthalmology Physician
  • Chicago, IL
  • NPI 1790775997
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1639277114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W NORTH AVE",
            "address_2": "#290",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606101293",
            "telephone_number": "312-371-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 N FRANCISCO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222743",
            "telephone_number": "312-371-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRICA ROSSI MD SC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "ROSSI",
        "authorized_official_first_name": "ENRICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-371-3588"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036095803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036095803",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Kevin Ennis, MD
• William J Ennis, D.O.
• Kirsten Enoch, LCSW
• Owen Enoch, MA
• Christina Ann Enos, C.O.T.A.
• Enriched Community Acupuncture Center
• Enriched Living Counseling LLC
• Marelin Enriquez Paloalto
• Betsy H Enriquez, D.D.S.
• Decelle Jewel Manuel Enriquez, APRN, CRNA

• Ophthalmology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.