Provider Demographics
NPI:1477856540
Name:KARLYN ROSENSTIEL
Entity Type:Organization
Organization Name:KARLYN ROSENSTIEL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KARLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSENSTIEL
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:773-531-0043
Mailing Address - Street 1:1014 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-4215
Mailing Address - Country:US
Mailing Address - Phone:773-531-0043
Mailing Address - Fax:
Practice Address - Street 1:1014 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:DEERFIELD
Practice Address - State:IL
Practice Address - Zip Code:60015-4215
Practice Address - Country:US
Practice Address - Phone:773-531-0043
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-13
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL016005317213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty