Provider Demographics
NPI:1285801514
Name:ROSENSTIEL, KARLYN (DPM)
Entity type:Individual
Prefix:DR
First Name:KARLYN
Middle Name:
Last Name:ROSENSTIEL
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1014 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-4215
Mailing Address - Country:US
Mailing Address - Phone:773-531-0043
Mailing Address - Fax:
Practice Address - Street 1:1014 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:DEERFIELD
Practice Address - State:IL
Practice Address - Zip Code:60015-4215
Practice Address - Country:US
Practice Address - Phone:773-531-0043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-15
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL016005317213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist