Organization Active NPI

Bella Rosenzweig MD SC

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1962675876
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BELLA ROSENZWEIG MD SC
Practice address
6212 N Broadway Street
Chicago, IL 60660
Phone
(773) 465-8131
Fax
(773) 465-1929
NPI assigned
Apr 11, 2008
Organization subpart
Yes
Parent organization
BELLA ROSENZWEIG MD SCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Authorized official

Name
Mrs. Bella Rosenzweig, MD
Title
President
Phone
(773) 465-8131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X IL Primary

Addresses

Primary practice location

6212 N Broadway Street
Chicago, IL 60660

Mailing address

6212 N Broadway Street
Chicago, IL 60660
Phone (773) 465-8131

Other identifiers 3

IdentifierTypeStateIssuer
242189OtherWELLCARE
1632015OtherBLUE CROSS BLUE SHIELD
6057912001OtherCIGNA

National Provider Directory

National Provider Directory
Part of
Bella Rosenzweig MD SC

NPI Registry JSON

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1962675876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6212 N BROADWAY STREET",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60660",
            "telephone_number": "773-465-8131",
            "fax_number": "773-465-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6212 N BROADWAY STREET",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60660",
            "telephone_number": "773-465-8131",
            "fax_number": "773-465-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA ROSENZWEIG MD SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BELLA ROSENZWEIG MD SC",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "ROSENZWEIG",
        "authorized_official_first_name": "BELLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-465-8131",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "242189",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1632015",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6057912001",
            "state": null
        }
    ],
    "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 Apr 11, 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.