DR. BRIAN ROTSKOFF (NPI# 1285662304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285662304 |
| Entity Type | Individual |
| Full Name | DR. BRIAN ROTSKOFF |
| Other Name | DR. BRIAN ROTSKOFF |
| Practice Address |
4801 W Peterson Ave Suite 306 Chicago IL 60646-5713 |
| Practice Telephone | 7738773500 |
| Practice Fax Number | 8882282622 |
| Mailing Telephone | 7738773500 |
| Mailing Fax Number | 8882282622 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2010-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
036-102370 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
4801 W PETERSON AVE SUITE 306 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60646-5713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588667315 | Barry M Leavitt | Psychologist | 4801 W Peterson Ave, Ste 525, Chicago, IL 60646 | 2005-05-24 |
| 1790229441 | Valerie Deutsch | Behavioral Analyst | 4801 W Peterson Ave, Suite 512, Chicago, IL 60646-5713 | 2016-12-15 |
| 1730623729 | A Dragonfly Mind, LLC | Clinical Neuropsychologist | 4801 W Peterson Ave, Suite 301, Chicago, IL 60646-5726 | 2016-12-09 |
| 1760938260 | Catherine Bogacki | Social Worker | 4801 W Peterson Ave, Suite 308, Chicago, IL 60646-5713 | 2016-08-25 |
| 1841662434 | Paul Robert Muhr | Dentist | 4801 W Peterson Ave, Suite 407, Chicago, IL 60646-5713 | 2015-10-22 |
| 1548631245 | Amy Derusha | Behavioral Analyst | 4801 W Peterson Ave, 512, Chicago, IL 60646-5713 | 2015-10-07 |
| 1063818813 | Amalia Pepek | Nurse Practitioner | 4801 W Peterson Ave, Suite 506, Chicago, IL 60646-5713 | 2014-11-06 |
| 1689089286 | Roxanne Gayle | Behavioral Analyst | 4801 W Peterson Ave, #512, Chicago, IL 60646-5713 | 2014-06-23 |
| 1982018461 | Superior Rehab Center LLC | Physical Therapist | 4801 W Peterson Ave, 615, Chicago, IL 60646-5713 | 2014-06-12 |
| 1720415367 | Frank J Gutierrez | Counselor | 4801 W Peterson Ave, Suite 403, Chicago, IL 60646 | 2013-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801312087 | Manal Ibrahim | Dentist | 6228 N Keystone Ave, Chicago, IL 60646 | 2017-08-18 |
| 1750820742 | Kaitlin O'brien | Student in an Organized Health Care Education/Training Program | 5801 N Pulaski, Chicago, IL 60646 | 2017-02-23 |
| 1659810646 | Sofia Trani | Student in an Organized Health Care Education/Training Program | 5801 N. Pulaski Rd, Chicago, IL 60646 | 2017-02-23 |
| 1487191151 | Ronald E. Rysztogi | Naprapath | 5704 N. Austin, Chicago, IL 60646 | 2017-01-19 |
| 1417403148 | Joyful Dental Care | Clinic/Center | 6314 N. Cicero Avenue, Chicago, IL 60646 | 2016-09-01 |
| 1164889754 | Physicians At Call | Family Medicine | 5901 N. Cicero Ave, Ste 207, Chicago, IL 60646 | 2016-01-27 |
| 1245610617 | Arlett Payne | Physician Assistant | 5906 N Milwaukee, Chicago, IL 60646 | 2015-06-01 |
| 1811375843 | North River Mental Health Center | Community/Behavioral Health | 5801 North Pulaski Road, Chicago, IL 60646 | 2015-05-11 |
| 1003157298 | Family Choice Home Health | Homemaker | 5933 N Milwaukee Avenue, Chicago, IL 60646 | 2013-03-13 |
| 1235479593 | Antonina Skapars Trinkuns | Psychiatry & Neurology | 6404 N. Tahoma Ave., Chicago, IL 60646 | 2013-02-25 |
| Find all providers in zip 60646 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457479420 | Progressive Institute of Allergy, Inc. | Allergy & Immunology | 5351 W Lawrence Ave, Chicago, IL 60630-3627 | 2007-03-27 |
| 1164439253 | Laura Rogers Allergy & Asthma, M.d., S.c. | Allergy & Immunology | 233 E Erie St Ste 810, Chicago, IL 60611-2906 | 2006-08-02 |
| 1972519320 | Edward E Lisberg | Allergy & Immunology | 1912 N Leavitt St, Chicago, IL 60647-4409 | 2006-07-31 |
| 1528069804 | Kajorndej Komutanon | Allergy & Immunology | 3218 W Lawrence Ave, Chicago, IL 60625-5209 | 2005-08-09 |
| 1043536832 | Fei Li Kuang | Allergy & Immunology | 675 N Saint Clair St Ste 18-250, Chicago, IL 60611-5980 | 2010-04-19 |
| 1710153762 | Kajorndej Komutanon Md Sc | Allergy & Immunology | 3218 W Lawrence Avenue, Chicago, IL 60625-5209 | 2008-04-30 |
| 1437329794 | Athanasios Konstantinidis | Allergy & Immunology | 251 E Huron St, Galter Building, 18th Floor, Chicago, IL 60611-2908 | 2008-03-03 |
| 1831276872 | Anne Ditto | Allergy & Immunology | 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611-4546 | 2006-11-01 |
| 1487690285 | Leslie Grammer | Allergy & Immunology | 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611-4546 | 2006-06-21 |
| 1508811621 | Julio Lara-valle | Allergy & Immunology | 1859 W Chicago Ave, Chicago, IL 60622-5513 | 2006-05-24 |
| Find all providers in CHICAGO | ||||
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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.