Porteno Medical Services, S.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

36-083647 Issued in IL

Legal business name

PORTENO MEDICAL SERVICES, S.C.

Practice address

6142 S Pulaski Rd
Chicago, IL 60629-4628

Phone

(773) 767-4359

Fax

(847) 562-0202

NPI assigned

Mar 1, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Rosenstein, M.D.

Title

President

Phone

(773) 580-5093

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregorio Gustavo Rosenstein, MD

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1619936093
  NPD (past)

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362096000000",
    "number": "1982945838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6142 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294628",
            "telephone_number": "773-767-4359",
            "fax_number": "847-562-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6142 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294628",
            "telephone_number": "773-767-4359",
            "fax_number": "847-562-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTENO MEDICAL SERVICES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-01",
        "last_updated": "2013-03-01",
        "status": "A",
        "authorized_official_last_name": "ROSENSTEIN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-580-5093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "36-083647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Portage Park Satellite Senior Center
• Jasmin Portaz
• Alexander Jay Porte, M.D.
• Michael A Porte, MD
• Sara E Porte
• Porter Transportation Services, Inc.
• Alure Porter, IL
• Anna Christine Porter, MD
• Ashley Porter
• Bonita Nicole Porter

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; 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.