Organization Active NPI

Streamwood Family Medicine

  • Surgery Physician
  • Streamwood, IL
National Provider Identifier
1013111541
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
36042670 Issued in IL
Legal business name
STREAMWOOD FAMILY MEDICINE
Practice address
572 S Bartlett Rd
Streamwood, IL 60107-1362
Phone
(630) 736-8500
Fax
(630) 736-8593
NPI assigned
Jun 11, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Albert R Rosanova Jr., M.D.
Title
President
Phone
(630) 736-8500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 36042670 IL
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 36042670 IL Primary

Addresses

Primary practice location

572 S Bartlett Rd
Streamwood, IL 60107-1362

Mailing address

5510 W Montrose Ave
Chicago, IL 60641-1330
Phone (773) 282-4700

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1013111541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 W MONTROSE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606411330",
            "telephone_number": "773-282-4700",
            "fax_number": "773-282-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 S BARTLETT RD",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601071362",
            "telephone_number": "630-736-8500",
            "fax_number": "630-736-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STREAMWOOD FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ROSANOVA",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-736-8500",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "36042670",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": "36042670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Streamwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.