Vin Rosenthal in Evanston - Clinical

Vin Rosenthal - NPI 1619099801

Vin Rosenthal is a Clinical in Evanston, Illinois. Vin Rosenthal practices all healthcare services and medical treatments related to Clinical. The NPI Number for Vin Rosenthal is 1619099801. The last update date is 2007-07-08.

Vin Rosenthal's current location address is 901 Edgemere Court, Evanston, Illinois. You can contact this provider via phone number 8474919114 and fax number 8474911679. The mailing address for Vin Rosenthal is 901 Edgemere Court, Evanston, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Vin Rosenthal
Address 901 Edgemere Court, Evanston, Illinois
Phone Number 8474919114
Fax Number 8474911679
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1619099801
Provider Enumeration Date 2007-04-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 901 Edgemere Court
City Evanston
State Illinois (IL)
Post Code 602021428
Phone Number 8474919114
Fax Number 8474911679

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 71000045
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1673154 IL BLUE CROSS AND BLUE SHIEL

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FAQs about Vin Rosenthal

What is the unique identifier code issued to Vin Rosenthal by the Centers for Medicare & Medicaid Services?

The Vin Rosenthal has been assigned the NPI (National Provider Identifier) 1619099801. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Vin Rosenthal is physically located?

The Vin Rosenthal is situated at the following address: 901 Edgemere Court, Evanston, IL 602021428.

What is Vin Rosenthal's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Vin Rosenthal's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.

On what date did Vin Rosenthal receive its 1619099801 assignment from the Centers for Medicare & Medicaid Services?

The Vin Rosenthal was assigned its 1619099801 on 2007-04-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Vin Rosenthal last refreshed?

The information related to the Vin Rosenthal, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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