MARK ROSENTHAL (NPI# 1609266279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609266279 |
| Entity Type | Individual |
| Full Name | MARK ROSENTHAL |
| Practice Address |
2112 W Peterson Ave Chicago IL 60659-4277 |
| Mailing Address |
4541 N Beacon St Apt 2g Chicago IL 60640-5545 |
| Practice Telephone | 7737613006 |
| Practice Fax Number | 7737613413 |
| Mailing Telephone | 8152459867 |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 049.159042 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366542540 | Mark A Rosenthal | Social Worker | 1722 Trevilian Way, Louisville, KY 40205-2057 | 2006-09-25 |
| 1508970930 | Mark Rosenthal | Dentist | 820 Lantana Rd, Lantana, FL 33462-1509 | 2006-08-19 |
| 1689749129 | Mark Rosenthal | Social Worker | 1735a Union St, San Francisco, CA 94123-4406 | 2006-11-21 |
| 1598849499 | Mark Zachary Rosenthal | Psychiatry & Neurology | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-10-25 |
| 1144319690 | Mark A. Rosenthal | Pediatrics | 1527 Route 12, Box 608, Gales Ferry, CT 06335-1800 | 2006-10-12 |
| 1811084536 | Mark J Rosenthal | Specialist | 16111 Plummer St, 11e, Sepulveda, CA 91343-2036 | 2006-10-06 |
| 1659470201 | Mark J Rosenthal | Family Medicine | 975 Baptist Way, Homestead, FL 33033-7600 | 2006-09-21 |
| 1396707949 | Mark Lee Rosenthal | Anesthesiology | 8330 Lakewood Ranch Blvd, Bradenton, FL 34202 | 2006-04-06 |
| 1215990858 | Mark S. Rosenthal | Internal Medicine | 1777 Hamburg Tpke, Suite 102, Wayne, NJ 07470-5211 | 2006-04-06 |
| 1215925474 | Mark S Rosenthal | Orthopaedic Surgery | 2700 Quarry Lake Dr, Suite 300, Baltimore, MD 21209-2230 | 2005-10-12 |
| Street Address |
2112 W PETERSON AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60659-4277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740223031 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 2112 W Peterson Ave, Chicago, IL 60659-4277 | 2006-06-14 |
| 1558751172 | Melisa Blazevic | Pharmacy Technician | 2112 W Peterson Ave, Chicago, IL 60659-4277 | 2015-02-03 |
| 1659761344 | Daniel Barnaby | Pharmacy Technician | 2112 W Peterson Ave, Chicago, IL 60659-4277 | 2015-02-02 |
| 1164812871 | Amar Amin | Pharmacy Technician | 2112 W Peterson Ave, Chicago, IL 60659-4277 | 2015-02-02 |
| 1396135000 | Alex Vizzone | Pharmacy Technician | 2112 W Peterson Ave, Chicago, IL 60659-4277 | 2015-02-02 |
| 1750771465 | Adriana Zetina | Pharmacy Technician | 2112 W Peterson Ave, Chicago, IL 60659-4277 | 2015-02-02 |
| 1962833368 | Target Corporation | Clinic/Center | 2112 W Peterson Ave, Chicago, IL 60659-4277 | 2013-12-10 |
| 1306273107 | Melissa Tod Peck | Nurse Practitioner | 2112 W Peterson Ave, Chicago, IL 60659-4277 | 2013-10-11 |
| 1225381759 | Ingrid Kernizan Watkins | Nurse Practitioner | 2112 W Peterson Ave, Chicago, IL 60659-4277 | 2012-10-22 |
| 1255682670 | Morgan Tiffany Lesiewicz | Registered Nurse | 2112 W Peterson Ave, Chicago, IL 60659-4277 | 2012-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811425 | Devon Homecare Physicians Inc. | Family Medicine | 2822 W. Granville Ave. Apt 1, Chicago, IL 60659 | 2020-11-03 |
| 1932724200 | Tatyana Menaker | Nurse Practitioner | 2958 West Devon Ave, Chicago, IL 60659 | 2020-06-12 |
| 1508410069 | Kara Lyn Anderson | Counselor | 2551 W. Peterson Ave, Chicago, IL 60659 | 2019-08-01 |
| 1568980019 | Saba Suleman | Counselor | 5815 N Spaulding Ave Apt 3a, Chicago, IL 60659 | 2017-09-05 |
| 1639695257 | Go Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5862 N Lincoln Ave, Suite 4, Chicago, IL 60659 | 2017-08-15 |
| 1972039568 | Trilogy, Inc. | Community/Behavioral Health | 2551 W Peterson Ave, Chicago, IL 60659 | 2017-05-03 |
| 1689029050 | Soulu | Voluntary or Charitable | 3557 W Peterson Ave #122, Chicago, IL 60659 | 2016-05-04 |
| 1730540550 | Michael Wei-tsi Chien | Dentist | 3425 W Peterson Ave Ste 107, Chicago, IL 60659 | 2016-03-08 |
| 1497129688 | Acquaint Homecare LLC | Home Health | 3525 West Peterson Avenue, Unit 118, Chicago, IL 60659 | 2015-11-25 |
| 1083054621 | Rebecca Schnell | Speech-Language Pathologist | 6124 N Saint Louis Ave, Chicago, IL 60659 | 2013-06-27 |
| Find all providers in zip 60659 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093320947 | David Li | Pharmacy Technician | 2848 S Quinn St Apt A, Chicago, IL 60608-5979 | 2020-09-08 |
| 1922612928 | Valentina Iliescu | Pharmacy Technician | 2440 N Luna Ave, Chicago, IL 60639-1335 | 2020-09-07 |
| 1679029995 | Meghan Robbins | Pharmacy Technician | 10428 S. Springfield, Chicago, IL 60655 | 2016-08-28 |
| 1952688111 | Tirrell Antoine Livingston | Pharmacy Technician | 7544 S Stony Island Ave, Chicago, IL 60649-3926 | 2011-11-15 |
| 1245511641 | Sarah Kim Cramer | Pharmacy Technician | 6040 S Harper Ave Apt 903, Chicago, IL 60637-2936 | 2011-08-30 |
| 1952553539 | Kathy Pham Tran | Pharmacy Technician | 920 W Lakeside Pl, Apt 1507, Chicago, IL 60640-5175 | 2008-10-15 |
| 1992328223 | Heather Jensky | Pharmacy Technician | 79 W Monroe St, Chicago, IL 60603-4901 | 2020-05-21 |
| 1154943074 | Diana Nguyen | Pharmacy Technician | 151 N State St, Chicago, IL 60601-3601 | 2020-05-13 |
| 1588283865 | Colton W Sherell | Pharmacy Technician | 4025 N Sheridan Rd, Chicago, IL 60613-2010 | 2020-04-15 |
| 1730733015 | Tanya Abraham | Pharmacy Technician | 201 E Huron St Ste 1-210, Chicago, IL 60611-3578 | 2019-07-25 |
| 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.