Provider Demographics
NPI:1669404588
Name:ROSADO, NORELL (MD)
Entity type:Individual
Prefix:DR
First Name:NORELL
Middle Name:
Last Name:ROSADO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:225 E CHICAGO AVE # 16
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2991
Mailing Address - Country:US
Mailing Address - Phone:312-227-6118
Mailing Address - Fax:312-227-9418
Practice Address - Street 1:225 E CHICAGO AVE # 16
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2991
Practice Address - Country:US
Practice Address - Phone:312-227-6118
Practice Address - Fax:312-227-9418
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036.1018012080C0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080C0008XAllopathic & Osteopathic PhysiciansPediatricsChild Abuse Pediatrics