| Mary Ann Rosanova-kaper, M.d., S.c. | |
|
330 E Main St Suite 1w Barrington IL 60010-3203 | |
| (847) 381-4300 | |
| (847) 381-4350 |
| Full Name | Mary Ann Rosanova-kaper, M.d., S.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 330 E Main St, Barrington, Illinois |
| Authorized Official Name and Position | Mary Ann Rosanova-kaper (OWNER) |
| Authorized Official Contact | 8473814300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Ann Rosanova-kaper, M.d., S.c. 330 East Main Street Suite 1w Barrington IL 60010 Ph: (847) 381-4300 | Mary Ann Rosanova-kaper, M.d., S.c. 330 E Main St Suite 1w Barrington IL 60010-3203 Ph: (847) 381-4300 |
| NPI Number | 1962704965 |
|---|---|
| Provider Enumeration Date | 11/23/2010 |
| Last Update Date | 11/23/2010 |
| Medicare PECOS PAC ID | 6103015912 |
|---|---|
| Medicare Enrollment ID | O20110110000760 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962704965 | NPI | - | NPPES |
| 036042248 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 36.042248 (Illinois) | Primary |
| Provider Name | Mary Ann Rosanova-kaper |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1548255474 PECOS PAC ID: 7911196720 Enrollment ID: I20110110000790 |
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