# ROSANOVA EYECARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265476725
- **Authorized official:** DR. MARK ANTHONY ROSANOVA M.D. (PRESIDENT)
- **Authorized official phone:** (847) 882-8680

## Contact information

- **Practice address:** 1555 N BARRINGTON RD, DOB 1, SUITE 330, HOFFMAN ESTATES, IL 60169-4033
- **Practice address phone:** (847) 882-8680
- **Practice address fax:** (877) 776-1220
- **Mailing address:** 5872 N MILWAUKEE AVE, CHICAGO, IL 60646-5425
- **Mailing address phone:** (773) 594-0000
- **Mailing address fax:** (773) 594-0017

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 036067273 | IL | Yes |

## Other

- **Enumeration date:** 06/15/2006
- **Last updated:** 06/16/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01634901 | BLUE CROSS BLUE SHIELD | IL |