Bannockburn Health Services LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

BANNOCKBURN HEALTH SERVICES LLC

Practice address

2151 Waukegan Rd
Suite 150
Bannockburn, IL 60015-1885

Phone

(847) 317-0011

Fax

(847) 317-0022

NPI assigned

Mar 14, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey L Rosengarten, MD

Title

Board of Managers Medical Director

Phone

(847) 249-3700

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1891763041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 WAUKEGAN RD",
            "address_2": "SUITE 150",
            "city": "BANNOCKBURN",
            "state": "IL",
            "postal_code": "600151885",
            "telephone_number": "847-317-0011",
            "fax_number": "847-317-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 WAUKEGAN RD",
            "address_2": "SUITE 150",
            "city": "BANNOCKBURN",
            "state": "IL",
            "postal_code": "600151885",
            "telephone_number": "847-317-0011",
            "fax_number": "847-317-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANNOCKBURN HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "ROSENGARTEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BOARD OF MANAGERS MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "847-249-3700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF3140",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katerina Marie Bakhos, M.D
• Marisa Baldassano, PA-C
• Caren Baltasi, LDN,CCN
• Bannockburn Chiropractic & Sports Injury Center PC
• Bannockburn Family Wellness
• Sarah Barletta
• Becky Freeman Murray Counseling PLLC
• Andrew Robert Benck, M.D.
• Lillian Rochelle Benck, M.D.
• Ronald G Berger, MD

• All providers in Bannockburn, IL
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.