Active NPI
Rosanne Oggoian, D.O.
- Pediatric Adolescent Medicine Physician
- Lake Villa, IL
National Provider Identifier
1043201387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 2080A0000X
- Practice address
- 50 S Milwaukee Ave
Suite 203
Lake Villa, IL 60046-9471 - Phone
- (847) 356-5747
- Fax
- (847) 356-5886
- NPI assigned
- Nov 4, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 2080A0000X | IL | Primary |
Addresses
Primary practice location
50 S Milwaukee Ave
Suite 203
Lake Villa, IL 60046-9471
Mailing address
721 N McKinley Rd
First Floor
Lake Forest, IL 60045-1849
Phone (847) 735-9330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04926673 | Other | IL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2080A0000X | IL | MD | Pediatric Adolescent Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1043201387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 N MCKINLEY RD",
"address_2": "FIRST FLOOR",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600451849",
"telephone_number": "847-735-9330",
"fax_number": "847-735-9301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 S MILWAUKEE AVE",
"address_2": "SUITE 203",
"city": "LAKE VILLA",
"state": "IL",
"postal_code": "600469471",
"telephone_number": "847-356-5747",
"fax_number": "847-356-5886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGGOIAN",
"first_name": "ROSANNE",
"name_prefix": "Mrs.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-04",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "IL",
"license": "2080A0000X",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "04926673",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Villa, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.