# MARY ANN ROSANOVA-KAPER, M.D., S.C.

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

## Provider details

- **NPI number:** 1962704965
- **Authorized official:** DR. MARY ANN ROSANOVA-KAPER M.D. (OWNER)
- **Authorized official phone:** (847) 381-4300

## Contact information

- **Practice address:** 330 E MAIN ST, SUITE 1W, BARRINGTON, IL 60010-3203
- **Practice address phone:** (847) 381-4300
- **Practice address fax:** (847) 381-4350
- **Mailing address:** 330 EAST MAIN STREET, SUITE 1W, BARRINGTON, IL 60010
- **Mailing address phone:** (847) 381-4300
- **Mailing address fax:** (847) 381-4350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 36.042248 | IL | Yes |

## Other

- **Enumeration date:** 11/23/2010
- **Last updated:** 11/23/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036042248 | — | IL |