Michael Rosen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038009762 Issued in IL

Practice address

495 Central Ave
Northfield, IL 60093-3044

Phone

(847) 373-0041

NPI assigned

Dec 15, 2005

Last updated

Sep 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Robert Fenton Chiropractic

  • Chiropractor
  • Northfield, IL
  • NPI 1437923570
  NPD

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1841276508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 CENTRAL AVE",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933044",
            "telephone_number": "847-373-0041",
            "fax_number": "847-373-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 CENTRAL AVE",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933044",
            "telephone_number": "847-373-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-IL",
            "identifier": "01633421",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anett Rollin, MSW
• Rooted Connections ABA, LLC
• Alexandra Rosales
• Nicole Karen Rose, LCSW
• Erik Rosen, LCSW
• Brian Rosenberg, LCSW
• Mark Rosenbloom, M.D.
• Meghan Taylor Rosenzweig, LCPC
• Lorna Marie Rosol, OTR
• Jonathan Ross

• Chiropractor in Northfield, IL
• Providers in Northfield, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.