Organization
MARY ANN ROSANOVA-KAPER, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ANN ROSANOVA-KAPER M.D. (OWNER)
(847) 381-4300
Entity
Organization
Contact information
Practice address
330 E MAIN ST, SUITE 1W, BARRINGTON, IL 60010-3203
(847) 381-4300
(847) 381-4350
Mailing address
330 EAST MAIN STREET, SUITE 1W, BARRINGTON, IL 60010
(847) 381-4300
(847) 381-4350
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
36.042248
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036042248
—
IL
Enumeration date
11/23/2010
Last updated
11/23/2010
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