Organization Active NPI

Albert R Rosanova Jr LTD

  • Surgery Physician
  • Chicago, IL
National Provider Identifier
1639372410
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
ALBERT R ROSANOVA JR LTD
Practice address
5510 W Montrose Ave
Chicago, IL 60641-1330
Phone
(773) 282-4700
Fax
(773) 282-4728
NPI assigned
Jun 7, 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
Dr. Albert R Rosanova Jr., M.D.
Title
President
Phone
(773) 282-4700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 36042670 IL
Surgery Physician 208600000X 36042670 IL Primary

Addresses

Primary practice location

5510 W Montrose Ave
Chicago, IL 60641-1330

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": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1639372410",
    "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": "5510 W MONTROSE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606411330",
            "telephone_number": "773-282-4700",
            "fax_number": "773-282-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT R ROSANOVA JR LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "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": "773-282-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "IL",
            "license": "36042670",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "36042670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, 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.