| Dr Michael Perry Rosenbaum, MD | |
|
9977 Woods Dr, Skokie, IL 60077-1057 | |
| (847) 663-8163 | |
| (847) 663-1024 |
| Full Name | Dr Michael Perry Rosenbaum |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 9977 Woods Dr, Skokie, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003891987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 036-068332 (Illinois) | Primary |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Perry Rosenbaum, MD 9977 Woods Dr, Skokie, IL 60077-1057 Ph: (847) 663-8163 | Dr Michael Perry Rosenbaum, MD 9977 Woods Dr, Skokie, IL 60077-1057 Ph: (847) 663-8163 |
Carly Stokar, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3722 W Touhy Ave, Suite 101, Skokie, IL 60067 Phone: 312-227-2860 | |
Pauline Ahn, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4709 Golf Rd Ste 900, Skokie, IL 60076 Phone: 847-676-5394 Fax: 847-679-7183 | |
Dr. Katherine L Shepherd, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4709 Golf Rd Ste 900, Skokie, IL 60076 Phone: 847-676-5394 Fax: 847-679-7183 | |
Angelica Revis, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 9977 Woods Dr, Skokie, IL 60077 Phone: 847-663-8163 | |
Dr. James Joseph Olson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9631 Gross Point Rd, Suite 2, Skokie, IL 60076 Phone: 847-677-7250 Fax: 847-677-7251 | |
Sun-bum Kim, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9669 Kenton Ave, Ste 403, Skokie, IL 60076 Phone: 847-674-4730 Fax: 847-674-4732 |