DR. MARK ROSENBLOOM (NPI# 1003122730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003122730 |
| Entity Type | Individual |
| Full Name | DR. MARK ROSENBLOOM |
| Credential | M.D. |
| Practice Address |
60 Revere Dr Suite 820 Northbrook IL 60062-1563 |
| Practice Telephone | 8479059505 |
| Practice Fax Number | 8479057344 |
| Mailing Telephone | 8479059505 |
| Mailing Fax Number | 8479057344 |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2013-09-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
036085053 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821164542 | Mark K Rosenbloom | Physical Medicine & Rehabilitation | 1401 Foucher Street M1005, Gary R Glynn Md Apmc, New Orleans, LA 70115 | 2006-11-27 |
| 1750355012 | Mark Rosenbloom | Internal Medicine | 301 Bingham Ave, Suite C, Ocean, NJ 07712-4762 | 2006-02-14 |
| 1245215888 | Mark S Rosenbloom | Surgery | 1223 Gateway Dr, Melbourne, FL 32901-2607 | 2005-12-07 |
| Street Address |
60 REVERE DR SUITE 820 |
| City | NORTHBROOK |
| State | IL |
| Zip Code | 60062-1563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578589750 | Claudia P. Welke | Psychiatry & Neurology | 60 Revere Dr, Suite 100, Northbrook, IL 60062-1563 | 2006-07-14 |
| 1326593088 | Joshua Williams Md LLC | Psychiatry & Neurology | 60 Revere Dr, Suite 100, Northbrook, IL 60062-1563 | 2016-08-23 |
| 1427503168 | Colleen Mcguire Md LLC | Psychiatry & Neurology | 60 Revere Dr, Northbrook, IL 60062-1563 | 2016-08-23 |
| 1700331469 | Deepali Gershan Md | Psychiatry & Neurology | 60 Revere Dr, Suite 100, Northbrook, IL 60062-1563 | 2016-08-23 |
| 1528419876 | Colleen Mcguire Md LLC | Psychiatry & Neurology | 60 Revere Dr, Suite 100, Northbrook, IL 60062-1563 | 2016-06-28 |
| 1174974802 | Dr. Deepali G. Gershan, LLC | Psychiatry & Neurology | 60 Revere Dr, Suite 100, Northbrook, IL 60062-1563 | 2016-06-23 |
| 1649620188 | Dr. Joshua A. Williams, LLC | Psychiatry & Neurology | 60 Revere Dr, Suite 100, Northbrook, IL 60062-1563 | 2016-06-15 |
| 1043674385 | Lindsay Buvel | Counselor | 60 Revere Dr, Suite 100, Northbrook, IL 60062-1563 | 2016-04-13 |
| 1710347455 | Mariette Champagne | Counselor | 60 Revere Dr, Suite 202, Northbrook, IL 60062-1563 | 2016-02-23 |
| 1083073688 | Christopher Lowden Md LLC | Psychiatry & Neurology | 60 Revere Dr, Northbrook, IL 60062-1563 | 2016-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487067 | Cvs Aoc Services, L.L.C. | Optometrist | 936 Willow Road, Store 0141, Northbrook, IL 60062 | 2020-05-06 |
| 1386103885 | Jennifer Venegas | Behavior Technician | 5 Revere Dr Suit 120, Northbrook, IL 60062 | 2019-03-14 |
| 1720558281 | Taylor Hundley | Behavior Technician | 5 Revere Dr. Suite 120, Northbrook, IL 60062 | 2018-11-27 |
| 1609344027 | Melissa Cepeda | Behavior Technician | 5 Revere Dr Suite 120, Northbrook, IL 60062 | 2018-11-03 |
| 1235606658 | Candace Cheyenne Kaiser | Behavior Technician | 5 Revere Dr, Suite 120, Northbrook, IL 60062 | 2018-10-24 |
| 1275058745 | The Renfrew Center of Illinois | Counselor | 5 Revere Dr, Suite 100, Northbrook, IL 60062 | 2017-08-07 |
| 1467984773 | Ayzenshteyn Chiropractic | Chiropractor | 3210 Doolittle Dr., Northbrook, IL 60062 | 2017-03-28 |
| 1396282695 | Josephine Driscoll | Physician Assistant | 400 Skokie Blvd., Suite 450, Northbrook, IL 60062 | 2017-01-24 |
| 1396297842 | Lauren Raphael Lcsw LLC | Social Worker | 3050 Pheasant Creek Drive, Apt. 104, Northbrook, IL 60062 | 2016-11-01 |
| 1851847073 | Jassim Vailoces | Physical Therapist | 634 Academy Dr, Northbrook, IL 60062 | 2016-08-28 |
| Find all providers in zip 60062 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083052609 | Chicago Age Management Institute | Preventive Medicine | 60 Revere Dr Ste 820, Northbrook, IL 60062-1580 | 2013-06-05 |
| 1588078844 | Lifeforce Medical Institute | Preventive Medicine | 60 Revere Dr, Site 820, Northbrook, IL 60062-1563 | 2014-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275022188 | Vip Health and Fitness Clinic | Preventive Medicine | 100 N Fairway Dr Ste 100-102, Vernon Hills, IL 60061-1859 | 2018-05-07 |
| 1457776361 | Caroline Marie Jung | Preventive Medicine | 1817 W Berwyn Ave # 3, Chicago, IL 60640-1005 | 2014-02-28 |
| 1568690899 | Sargon Audisho | Preventive Medicine | 4143 N Claremont Ave, Apt 2, Chicago, IL 60618-2919 | 2009-06-25 |
| 1194910125 | Chicago Dept of Public Health | Preventive Medicine | 2849 N Clark St, Lakeview N H C, Chicago, IL 60657 | 2007-09-12 |
| 1508071010 | Violeta P Dulanas | Preventive Medicine | 4958 W Madison St, Chicago, IL 60644-3541 | 2007-05-10 |
| 1073727400 | Lourdes Mella Hilao | Preventive Medicine | 4243 W Fullerton Ave, Chicago, IL 60639-2049 | 2007-05-08 |
| 1639395239 | K Michael Lipkin | Preventive Medicine | 370 Aspen Ln, Highland Park, IL 60035-4525 | 2007-04-18 |
| 1457493546 | Esperanza G Salvador | Preventive Medicine | 2100 Ridge Ave, Evanston, IL 60201-2716 | 2007-02-13 |
| 1518021153 | Westside C.d.c | Preventive Medicine | 2160 W. Ogden, Westside C.d.c, Chicago, IL 60604 | 2006-12-20 |
| 1821159625 | 31st Std Clinic | Preventive Medicine | 530 E 31st St, Std 31st Street Clinic, Chicago, IL 60616-4008 | 2006-12-13 |
| Find all providers with the same taxonomy | ||||
| City | NORTHBROOK |
| Zip Code | 60062 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.