SY H ROSEN (NPI# 1043278138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043278138 |
Entity Type | Individual |
Full Name | SY H ROSEN |
Credential | C.O. |
Practice Address |
9933 Lawler Ave #409 Skokie IL 60077-3703 |
Mailing Address |
3549 Grove St Evanston IL 60203-1819 |
Practice Telephone | 8474102751 |
Enumeration Date | 2006-05-01 |
Last Update Date | 2013-02-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 222Z00000X | Orthotist | 213000062 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BLUE CROSS | 99322112 | 01 |
Street Address |
9933 LAWLER AVE #409 |
City | SKOKIE |
State | IL |
Zip Code | 60077-3703 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992704811 | Skokie Meadows Nursing Center II | Nursing Facility/Intermediate Care Facility | 9933 Lawler Ave, Ste #350, C/o Premier Management Co, Skokie, IL 60077-3703 | 2005-07-21 |
1841661931 | Wendy Shorr | Durable Medical Equipment & Medical Supplies | 9933 Lawler Ave, Suite 340, Skokie, IL 60077-3773 | 2015-10-14 |
1861837973 | Kunnel Dental Center P.C. | Dentist | 9933 Lawler Ave, #401, Skokie, IL 60077-3703 | 2013-05-02 |
1093069866 | Ella Komarovsky Md | Clinic/Center | 9933 Lawler Ave, Suite 338a, Skokie, IL 60077-3703 | 2012-11-01 |
1376807966 | David B. Schwartz, Dds and Associates | Dentist | 9933 Lawler Ave, Skokie, IL 60077-3703 | 2012-06-27 |
1306114236 | Skokie Foot & Ankle Specialists, Ltd. | Podiatrist | 9933 Lawler Ave, Suite 315, Skokie, IL 60077-3703 | 2011-12-07 |
1467733741 | 1 Stop Homemaker Services, LLC. | In Home Supportive Care | 9933 Lawler Ave, Suite 206, Skokie, IL 60077-3703 | 2011-08-31 |
1346538402 | Brian Rosenblatt | Dentist | 9933 Lawler Ave, Ste# 340, Skokie, IL 60077-3703 | 2011-07-11 |
1841525656 | Sergey Viktorovich Dergachev | Massage Therapist | 9933 Lawler Ave, Suite 520, Skokie, IL 60077-3703 | 2009-10-12 |
1114178217 | Fabio Ortega Md Sc | Obstetrics & Gynecology | 9933 Lawler Ave, Suite 409, Skokie, IL 60077 | 2008-10-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740835347 | Tharani Theivakumar | Dentist | 5225 W. Touhy Ave, Skokie, IL 60077 | 2019-08-09 |
1780179838 | Total Renal Care Inc | Clinic/Center | 8950 Gross Point Rd Ste 300, Skokie, IL 60077 | 2018-06-29 |
1811481070 | Joseph Rubin | Counselor | 7929 Lincoln Ave Ste 202, Skokie, IL 60077 | 2018-06-20 |
1245721067 | Lipnick Orthopaedics S.c. | Orthopaedic Surgery | 4856 Oakton Street, Skokie, IL 60077 | 2018-05-29 |
1376034991 | Karen Bradley | Nurse Practitioner | 5143 Coyle Ave, Skokie, IL 60077 | 2018-05-21 |
1093217036 | Arnold Arellano | Pedorthist | 5202 Old Orchard Road, N100, Skokie, IL 60077 | 2018-03-06 |
1043722408 | Carolyn Mary Jarozewski I | Registered Nurse | 5250 N.old Orchard Road Suite 300, 5250 N.old Orchard Road Suite 300, Skokie, IL 60077 | 2017-10-25 |
1841718400 | Katie Kluga | Nurse Practitioner | 9977 Woods Drive Suite 300, Skokie, IL 60077 | 2017-09-05 |
1265950091 | Larry Asher Sidel | Counselor | 9530 Lamon Pl.apt 110, Skokie, IL 60077 | 2017-08-31 |
1578088639 | Eleni Toumplis | Pharmacist | 4955 Dempster St, Skokie, IL 60077 | 2017-08-10 |
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Taxonomy Code | 222Z00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Orthotist |
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730724394 | Pr Orthotics & Ot LLC | Orthotist | 4711 Golf Rd Ste 1055, Skokie, IL 60076-1272 | 2019-11-07 |
1396246930 | Angela Bauer | Orthotist | 5202 Old Orchard Rd Ste N100, Skokie, IL 60077-4407 | 2018-02-27 |
1841338860 | Patricia Louise Rogel | Orthotist | 4711 Golf Rd, Ste 1055, Skokie, IL 60076-1224 | 2007-02-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073140414 | Phoenix Rising Prosthetic Orthotic Service Pllc | Orthotist | 330 W Colfax St Ste 100, Palatine, IL 60067-2538 | 2020-03-25 |
1831691104 | Ashley Zinnamon | Orthotist | 1525 E 55th St Ste 204, Chicago, IL 60615-5512 | 2018-03-02 |
1194225227 | David B Rotter | Orthotist | 121 Springfield Ave Ste 4, Joliet, IL 60435-6545 | 2018-02-15 |
1336651264 | Sandra Jean Schechner | Orthotist | 302 W Rosalie Ln, Palatine, IL 60074-1065 | 2017-11-01 |
1356798896 | Rick Allen | Orthotist | 5929 East Riverside Blvd, Rockford, IL 61114-4937 | 2016-05-14 |
1124484381 | Hori S Singha | Orthotist | 649 Ridgeview Dr., Mchenry, IL 60050 | 2016-01-04 |
1881947091 | Woodfield Ortho Services, LLC | Orthotist | 2401 Kaneville Rd Ste 2, Geneva, IL 60134-2577 | 2012-10-25 |
1881964757 | Rinella Orthotics, Inc. | Orthotist | 1890 Silver Cross Blvd # 445, New Lenox, IL 60451-9508 | 2012-01-09 |
1306065958 | Erik James Lindholm | Orthotist | 1316 Black Rd, Joliet, IL 60435-3962 | 2007-04-24 |
1538383260 | Woodfield Ortho Services LLC | Orthotist | 37w002 Mooseheart Rd, Batavia, IL 60539-1022 | 2007-04-12 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.