Provider Demographics
NPI:1689668022
Name:ROSENBLOOM & SAXON SURGICAL SPECIALISTS
Entity Type:Organization
Organization Name:ROSENBLOOM & SAXON SURGICAL SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:D
Authorized Official - Last Name:ROSENBLOOM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-884-7700
Mailing Address - Street 1:PO BOX 957795
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60195-7795
Mailing Address - Country:US
Mailing Address - Phone:847-884-7700
Mailing Address - Fax:847-884-6569
Practice Address - Street 1:1555 N BARRINGTON ROAD
Practice Address - Street 2:SUITE 2550
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60194
Practice Address - Country:US
Practice Address - Phone:847-884-7700
Practice Address - Fax:847-884-6569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL704870Medicare ID - Type UnspecifiedGROUP NUMBER