| Roan Solutions Llc | |
|
55 E Crystal Lake Ave Crystal Lake IL 60014-6151 | |
| (815) 522-1719 | |
| Not Available |
| Full Name | Roan Solutions Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 55 E Crystal Lake Ave, Crystal Lake, Illinois |
| Authorized Official Name and Position | Amber Rakoczy (OWNER) |
| Authorized Official Contact | 8155221719 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roan Solutions Llc 734 Pointe Dr Crystal Lake IL 60014-8023 Ph: (815) 522-1719 | Roan Solutions Llc 55 E Crystal Lake Ave Crystal Lake IL 60014-6151 Ph: (815) 522-1719 |
| NPI Number | 1639761638 |
|---|---|
| Provider Enumeration Date | 02/10/2021 |
| Last Update Date | 02/10/2021 |
| Certification Date | 02/10/2021 |
| Medicare PECOS PAC ID | 3375907538 |
|---|---|
| Medicare Enrollment ID | O20230907000664 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639761638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Amber Rakoczy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215355276 PECOS PAC ID: 0143562181 Enrollment ID: I20190606002021 |
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