Provider Demographics
NPI:1205055639
Name:THE BAY SCOTT OPERATORY
Entity type:Organization
Organization Name:THE BAY SCOTT OPERATORY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:D
Authorized Official - Last Name:ROZNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-305-0010
Mailing Address - Street 1:1888 BAY SCOTT CIR
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-1106
Mailing Address - Country:US
Mailing Address - Phone:630-305-0010
Mailing Address - Fax:630-305-0311
Practice Address - Street 1:1888 BAY SCOTT CIR
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-1106
Practice Address - Country:US
Practice Address - Phone:630-305-0010
Practice Address - Fax:630-305-0311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL261QA1903X261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical