Provider Demographics
NPI:1255182580
Name:ROSOFSKY, AMY FRANCESCA (LE)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:FRANCESCA
Last Name:ROSOFSKY
Suffix:
Gender:F
Credentials:LE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 N. MICHIGAN AVE
Mailing Address - Street 2:STE 1122
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-3740
Mailing Address - Country:US
Mailing Address - Phone:312-593-5593
Mailing Address - Fax:
Practice Address - Street 1:30 N. MICHIGAN AVE
Practice Address - Street 2:STE 1122
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-3740
Practice Address - Country:US
Practice Address - Phone:312-593-5593
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL220.000216174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist