1477727493 NPI number — SARI H ROSENBERG PSY.D.

Table of content: SARI H ROSENBERG PSY.D. (NPI 1477727493)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477727493 NPI number — SARI H ROSENBERG PSY.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROSENBERG
Provider First Name:
SARI
Provider Middle Name:
H
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PSY.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WEINTROB
Provider Other First Name:
SARI
Provider Other Middle Name:
H
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
PSY.D.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1477727493
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/19/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1200 HARGER ROAD
Provider Second Line Business Mailing Address:
SUITE 600
Provider Business Mailing Address City Name:
OAK BROOK
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60523
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
630-571-5750
Provider Business Mailing Address Fax Number:
630-571-5751

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1200 HARGER ROAD
Provider Second Line Business Practice Location Address:
SUITE 600
Provider Business Practice Location Address City Name:
OAK BROOK
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60523
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
630-571-5750
Provider Business Practice Location Address Fax Number:
630-571-5751
Provider Enumeration Date:
04/22/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  071007600 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TC0700X , with the licence number: 071.007600 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)