Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATILDA M ROSANWO, MD
ActiveMATILDA M ROSANWO, MD is a Family Medicine healthcare provider located in CRYSTAL LAKE, Illinois. NPI 1871570978 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · CRYSTAL LAKE, IL
Registration Details
- NPI Number
- 1871570978
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 29, 2005 (20.598295168021 yrs)
- Last Updated
- Oct 22, 2018
- License
-
036104686 (IL)
Practice Information
- Address
-
360 STATION DRCRYSTAL LAKE, IL, 60014Browse IL providers · Browse ZIP 60014
- Phone
- 8153386600
- Fax
- 8154558044
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in CRYSTAL LAKE, IL
| Name | Credential | NPI |
|---|---|---|
| JAMIE GANCAYCO | MD | 1669470431 |
| NATALIE KOSTINSKY | M.D. | 1205835881 |
| DR. JOHN S BALOCKI | DO | 1801856117 |
| MARILYN M C LACROSSE | M.D. | 1255376885 |
| YANBING LI | M.D. | 1104843739 |
| MORIAH BANG | D.O. | 1750393310 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.