Marjorie Mintz Rosenbaum Md Llc

LBN: Marjorie Mintz Rosenbaum Md Llc
Marjorie Mintz Rosenbaum Md Llc is an health care organization with primary practice located at 676 N St Clair Suite 1725, Chicago IL 60611-2974. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Marjorie Mintz Rosenbaum Md Llc can be contacted via phone (312) 664-8533, or through Rosenbaum, Marjorie Mintz via phone (312) 664-8533.

Contact Information

Primary practice address
676 N St Clair Suite 1725 Chicago IL 60611-2974
Phone: (312) 664-8533
Fax: (312) 664-8860
Website:
Map and Directions
Authorized official contact:
Name: Rosenbaum, Marjorie Mintz Doctor of Medicine (MD)
Phone: (312) 664-8533

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036065456 Illinois

Profile Details

NPI number 1548449580
LBN Legal business name Marjorie Mintz Rosenbaum Md Llc
DBA Doing business as
Authorized official Rosenbaum, Marjorie Mintz Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2007
Last updated Oct 10th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548449580 NPPES
Illinois Other 204237 MEDICARE GROUP PROVIDER NO.

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