Provider Demographics
NPI:1669806667
Name:ROSENKRANZ, RICARDO TOMAS (MD)
Entity type:Individual
Prefix:DR
First Name:RICARDO
Middle Name:TOMAS
Last Name:ROSENKRANZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1200 N LAKE SHORE DR
Mailing Address - Street 2:APT. 904
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610-2370
Mailing Address - Country:US
Mailing Address - Phone:312-927-0180
Mailing Address - Fax:312-896-1592
Practice Address - Street 1:1200 N LAKE SHORE DR
Practice Address - Street 2:APT. 904
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60610-2370
Practice Address - Country:US
Practice Address - Phone:312-927-0180
Practice Address - Fax:312-896-1592
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-26
Last Update Date:2015-06-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036.0881692080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine