Organization Active NPI

F.a.Rosales, M.D., S.C.

  • Family Medicine Physician
  • Aurora, IL
National Provider Identifier
1407997794
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36-060-287 Issued in IL
Legal business name
F.A.ROSALES, M.D., S.C.
Practice address
143 S Lincoln Ave Ste N
Aurora, IL 60505-4290
Phone
(630) 896-4050
Fax
(630) 896-4084
NPI assigned
Feb 9, 2007
Last updated
Jun 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Dr. Francisco Alberto Rosales, M.D.
Title
President
Phone
(630) 896-4050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36-060-287 IL Primary

Addresses

Primary practice location

143 S Lincoln Ave Ste N
Aurora, IL 60505-4290

Mailing address

143 S Lincoln Ave Ste N
Aurora, IL 60505-4290
Phone (630) 896-4050

Other identifiers 2

IdentifierTypeStateIssuer
036060287MedicaidIL
4520111OtherILBCBS

National Provider Directory

National Provider Directory

Locations

143 S Lincoln Ave
Ste N
Aurora, IL 60505
Phone (630) 896-4050

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1407997794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 S LINCOLN AVE STE N",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605054290",
            "telephone_number": "630-896-4050",
            "fax_number": "630-896-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 S LINCOLN AVE STE N",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605054290",
            "telephone_number": "630-896-4050",
            "fax_number": "630-896-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F.A.ROSALES, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "ROSALES",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-896-4050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "36-060-287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036060287",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4520111",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.