NPI

Marc Rosenthal

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
DDS
Type
Individual
Enumeration date
2005-10-17
Last updated
2022-07-20

Specialties

Licenses

License CO
8416
License IL
019.030533

Location

Practice location
641 W 63rd St
City
Chicago IL
Postal code
60621-2032
Phone
(719) 589-5161

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Other NPIs in Chicago, IL. 81,186 records in the public file.

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