DR. MARK LAWRENCE ROSENBLUM


Address: 3001 Greeenbay Road, North Chicago, IL 60064
Phone: 8476881099

DR. MARK LAWRENCE ROSENBLUM (NPI# 1578587861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578587861
Entity Type Individual
Full Name DR. MARK LAWRENCE ROSENBLUM
Credential PH.D.
Practice Address 3001 Greeenbay Road
North Chicago
IL 60064
Mailing Address 3001 Greenbay Road
Va Medical Center
North Chicago
IL 60064
Practice Telephone 8476881099
Mailing Telephone 8476881099
Enumeration Date 2006-07-27
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
IL Behavioral Health & Social Service Providers

Other Providers MARK ROSENBLUM

NPI Name Taxonomy Address Enumeration
1003809310 Mark Rosenblum Urology 6410 Rockledge Dr Ste 503, Bethesda, MD 20817-7822 2005-08-23
1548728678 Mark Aaron Rosenblum Peer Specialist 224 E Wishkah St, Aberdeen, WA 98520-6513 2019-03-07
1124193867 Mark L. Rosenblum Neurological Surgery Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 2006-11-21

Office Location

Street Address 3001 GREEENBAY ROAD
City NORTH CHICAGO
State IL
Zip Code 60064

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356964084 Corbin Paul Edmondson Student in an Organized Health Care Education/Training Program 3333 Greenbay Rd, North Chicago, IL 60064 2020-05-28
1881247534 Aravind Reddy Kuchkuntla Internal Medicine 333 Greenbay Road, North Chicago, IL 60064 2019-07-22
1447721121 Elise Teichman Nurse Practitioner 3001 Green Bat Rd, North Chicago, IL 60064 2018-12-06
1841711397 Abhinav Kumar Nadipalli Internal Medicine 3333 Greenbay Road, North Chicago, IL 60064 2017-07-05
1376082503 A Plus Untited Taxi Limosine Taxi 1721 Sheridan Rd, Suite C, North Chicago, IL 60064 2017-02-21
1003351503 Jacob S Lewis, Dmd, P.C. Dentist 2233 Greenbay Rd, North Chicago, IL 60064 2016-12-20
1730635095 Siva Rama Krishna Cheetirala Internal Medicine Rosalind Franklin University of Medicine and Sciences, 3333 Green Bay Road, North Chicago, IL 60064 2016-08-28
1669869764 Benjamin Pittman Military Health Care Provider Uss Tranquility (bhc 1007), Capt James A Lovell Federal Health Care Center, North Chicago, IL 60064 2015-04-16
1013315068 Rene Garcia Cantu Jr. Military Health Care Provider Captain James A. Lovell Federal Health Care Center, 3001 Green Bay Road, North Chicago, IL 60064 2014-12-08
1134521669 Seyed Kamran Hejazi Kenari Internal Medicine 3001 Green Bay Rd Bldg 133, North Chicago, IL 60064 2014-09-16
Find all providers in zip 60064

Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588861579 Paul Smiley Psychologist 3001 N. Green Bay Rd, (116b), North Chicago, IL 60064-3048 2007-07-02
1720059157 Paul Erwin Susman Psychologist Great Lakes Naval Base, North Chicago, North Chicago, IL 60088 2006-02-01
1912547969 Emily O'hara Psychologist 3001 Green Bay Rd, North Chicago, IL 60064-3048 2020-01-07
1124662572 Matthew Welsh Psychologist 3001 Green Bay Rd, North Chicago, IL 60064-3048 2019-10-29
1750924270 Colby Schepps Psychologist 3001 Green Bay Rd, North Chicago, IL 60064-3048 2019-10-28
1437792678 Jayna Ann Harthan Psychologist 3001 Green Bay Rd, North Chicago, IL 60064-3048 2019-10-21
1174166409 Suchi Daga Psychologist 3001 Green Bay Rd, North Chicago, IL 60064-3048 2019-10-18
1992261366 Ariela Yasova-zaffos Psychologist 3001 Green Bay Road, 16b (b7, Room 224), North Chicago, IL 60004 2019-02-11
1467926253 Jeffery Michael Vergo Psychologist 3001 Green Bay Rd, North Chicago, IL 60064-3048 2019-01-15
1386135994 Ashley Marie Harries Psychologist 3001 Green Bay Rd, North Chicago, IL 60064-3048 2018-05-21
Find all providers in NORTH CHICAGO

Competitor

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City NORTH CHICAGO
Zip Code 60064

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Dataset Information

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.

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