James Lee Rosenberg
Internist Gastroenterologist
510 Green Bay Rd
Kenilworth
, Illinois 60043-1002
James Lee Rosenberg
Internist Gastroenterologist
510 Green Bay Rd
Kenilworth
, Illinois 60043-1002
(847) 256-3412
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About
Features
Specialties
- Internist
- Gastroenterologist
Languages spoken
- English
Location
First Address
- James Lee Rosenberg
- 510 Green Bay Rd
- Kenilworth, IL
- Zip : 60043-1002
- Fax : (847) 256-3412
- Phone : (847) 256-3400
Second Address
- James Lee Rosenberg
- 510 Green Bay Rd
- Kenilworth, IL
- Zip : 60043-1002
- Fax : (847) 256-3412
- Phone : (847) 256-3400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | 036-042-022 | IL |
| Y | 111NI0900X | Internist | 036-042-022 | IL |
| N | 207RG0100X | Gastroenterologist | 036-042-022 | IL |
National Provider Identifier
| NPI | 1003818469 |
|---|---|
| Provider Name | James Lee Rosenberg |
| First Address | Kenilworth, IL 60043-1002 |
| Second Address | Kenilworth, IL 60043-1002 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/08/2005 |
| Last Update Date | 31/05/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036042022 | BLUE CROSS (01) | IL |
| 100012214 | RAILROAD MEDICARE (01) | IL |
| D12839 | (02) |
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.