Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Thomas M Rosen, PA-C

Individual provider Surgical Physician Assistant · NPI 1366652547

Mr. Thomas M Rosen, PA-C is a Physician Assistant in Skokie, Illinois. Qualified in 2004, 22 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
22
Licensed in
IL
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9650 Gross Point Rd Ste 29
Skokie, IL 60076-5080
Phone: (847) 866-7846
Fax: (224) 251-5074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 555 Biesterfield Rd, Elk Grove Village, IL 60007-3306 — (847) 690-1776

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 085-002318 (IL)

Record details

NPI number1366652547
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 23, 2007
Last updated in NPPESJuly 19, 2024
Certification dateJuly 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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