Provider Demographics
NPI:1225104540
Name:DRS ROSENBERG & LAMBRUSCHI LTD
Entity Type:Organization
Organization Name:DRS ROSENBERG & LAMBRUSCHI LTD
Other - Org Name:VALLEY PLASTIC SURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:GREGORY
Authorized Official - Last Name:LAMBRUSCHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-836-3200
Mailing Address - Street 1:350 S 8TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST DUNDEE
Mailing Address - State:IL
Mailing Address - Zip Code:60118-2248
Mailing Address - Country:US
Mailing Address - Phone:847-836-3200
Mailing Address - Fax:847-836-3204
Practice Address - Street 1:350 S 8TH ST
Practice Address - Street 2:
Practice Address - City:WEST DUNDEE
Practice Address - State:IL
Practice Address - Zip Code:60118-2248
Practice Address - Country:US
Practice Address - Phone:847-836-3200
Practice Address - Fax:847-836-3204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2010-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL042005870261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical