| Dr Jordan Ancell Rosenberg, DO | |
|
1304 Franklin Ave Ste 380, Normal, IL 61761-3558 | |
| (309) 268-5130 | |
| (309) 268-5784 |
| Full Name | Dr Jordan Ancell Rosenberg |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 6 Years |
| Location | 1304 Franklin Ave Ste 380, Normal, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457916793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036161073 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Christ Hospital & Medical Center | Oak lawn, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advocate Health And Hospitals Corporation | 7810800935 | 2682 |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jordan Ancell Rosenberg, DO 611 W Park St, Urbana, IL 61801-2501 Ph: (217) 383-3311 | Dr Jordan Ancell Rosenberg, DO 1304 Franklin Ave Ste 380, Normal, IL 61761-3558 Ph: (309) 268-5130 |
Julie Lewis, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1304 Franklin Ave, Emergency Department, Normal, IL 61761 Phone: 309-454-1400 | |
Dr. Stephanie Sullivan, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1304 Franklin Ave, Normal, IL 61761 Phone: 309-454-1400 | |
Dr. Thomas Pliura, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: Virginia & Franklin Streets, Normal, IL 61761 Phone: 309-827-4321 | |
Dr. Melvin Ehrhardt, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Virginia & Franklin Streets, Normal, IL 61761 Phone: 309-827-4321 | |
Tomasz Przednowek, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1304 Franklin Ave, Normal, IL 61761 Phone: 309-268-5130 | |
Dr. Parasakthi Kolandaivelu, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Virginia & Franklin Streets, Normal, IL 61761 Phone: 309-827-4321 | |
Ross David Percell, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1304 Franklin Ave Ste 380, Normal, IL 61761 Phone: 309-268-5130 Fax: 309-268-5784 |