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DR. MARK ROSENBLOOM M.D. NPI 1003122730


NPI Information

NPI: 1003122730
Provider Name: DR. MARK ROSENBLOOM, M.D.
Classification: Preventive Medicine - 2083P0901X
Entity Type: Individual

Specialization: Public Health & General Preventive Medicine

PECOS Registration: Yes

Address:
60 REVERE DR
SUITE 820
NORTHBROOK, IL
ZIP 60062
Phone: (847) 905-9505
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DR. Mark Rosenbloom, M.D. is a public health and general preventive medicine preventive medicine in Northbrook, IL. The provider is public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. DR. Mark Rosenbloom, M.D. NPI is 1003122730. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

60 REVERE DR
SUITE 820
NORTHBROOK, IL
ZIP 60062-563
Phone: (847) 905-9505
Fax: (847) 905-7344

The NPI 1003122730 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/18/2010 and was last updated on 9/27/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12083P0901XPreventive MedicinePublic Health & General Preventive Medicine036085053ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.