Dr. Fred B Rosenberg
Gastroenterologist
20 Tower Ct Suite C
Gurnee
, Illinois 60031-5711
Dr. Fred B Rosenberg
Gastroenterologist
20 Tower Ct Suite C
Gurnee
, Illinois 60031-5711
(847) 244-2986
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Dr. Fred B Rosenberg
- 20 Tower Ct Suite C
- Gurnee, IL
- Zip : 60031-5711
- Fax : (847) 244-2986
- Phone : (847) 244-2960
Second Address
- Dr. Fred B Rosenberg
- 20 Tower Ct Suite C
- Gurnee, IL
- Zip : 60031-5711
- Fax : (847) 244-2986
- Phone : (847) 244-2960
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | 36-049355 | IL |
National Provider Identifier
| NPI | 1003817180 |
|---|---|
| Provider Name | Dr. Fred B Rosenberg |
| First Address | Gurnee, IL 60031-5711 |
| Second Address | Gurnee, IL 60031-5711 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/08/2005 |
| Last Update Date | 28/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C44171 | (02) | IL |
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.