Provider Demographics
NPI:1477727493
Name:ROSENBERG, SARI H (PSYD)
Entity Type:Individual
Prefix:
First Name:SARI
Middle Name:H
Last Name:ROSENBERG
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:SARI
Other - Middle Name:H
Other - Last Name:WEINTROB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:1200 HARGER ROAD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523
Mailing Address - Country:US
Mailing Address - Phone:630-571-5750
Mailing Address - Fax:630-571-5751
Practice Address - Street 1:1200 HARGER ROAD
Practice Address - Street 2:SUITE 600
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523
Practice Address - Country:US
Practice Address - Phone:630-571-5750
Practice Address - Fax:630-571-5751
Is Sole Proprietor?:No
Enumeration Date:2008-04-22
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071007600103TC0700X
IL071.007600103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical