Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 036098913 | IL |
NPI | 1053425884 |
---|---|
Provider Name | Dr. Karol Rosner |
First Address | Oak Brook, IL 60523-1557 |
Second Address | Crystal Lake, IL 60014-6202 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2006 |
Last Update Date | 22/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036098913 | (05) | IL |
036-098913 | (05) | ID |
L96887 | (02) | IL |