Provider Demographics
NPI:1053342071
Name:DRS BAKKEN THOMSON BROWNING & ROTENBERG SC
Entity type:Organization
Organization Name:DRS BAKKEN THOMSON BROWNING & ROTENBERG SC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING SHAREHOLDER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREAS
Authorized Official - Middle Name:
Authorized Official - Last Name:SEIDLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-253-6464
Mailing Address - Street 1:1538 N ARLINGTON HEIGHTS ROAD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004
Mailing Address - Country:US
Mailing Address - Phone:847-253-6464
Mailing Address - Fax:847-253-6501
Practice Address - Street 1:1538 N ARLINGTON HEIGHTS ROAD
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004
Practice Address - Country:US
Practice Address - Phone:847-253-6464
Practice Address - Fax:847-253-6501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty