Anna Louise Rodenbough
Pediatrician Pediatric Emergency Physician
5721 S Maryland Ave Mc 8016, K155
Chicago
, Illinois 60637
Anna Louise Rodenbough
Pediatrician Pediatric Emergency Physician
5721 S Maryland Ave Mc 8016, K155
Chicago
, Illinois 60637
(773) 834-0748
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About
Features
Specialties
- Pediatric Emergency Physician
- Pediatrician
Languages spoken
- English
Location
First Address
- Anna Louise Rodenbough
- 150 Harvester Dr Ste 300
- Burr Ridge, IL
- Zip : 60527-5965
- Fax : (773) 834-0748
- Phone : (773) 702-7553
Second Address
- Anna Louise Rodenbough
- 5721 S Maryland Ave Mc 8016, K155
- Chicago, IL
- Zip : 60637
- Fax : (773) 834-0748
- Phone : (773) 702-7553
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PP0204X | Pediatric Emergency Physician | 036145849 | IL |
| N | 208000000X | Pediatrician | 125066796 | IL |
National Provider Identifier
| NPI | 1477933042 |
|---|---|
| Provider Name | Anna Louise Rodenbough |
| First Address | Burr Ridge, IL 60527-5965 |
| Second Address | Chicago, IL 60637 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/06/2015 |
| Last Update Date | 22/08/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.