MEDICARE: KIERAN ROONEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	208.011466	IL

General Provider Information

NPI Number	:	1669264800
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIERAN ROONEY

Provider Business Mailing Address
First Line	:	564 DOUGLAS AVE
Second Line	:
City	:	ELGIN
State	:	IL
Zip	:	60120-3672
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	164 E CHICAGO ST
Second Line	:
City	:	ELGIN
State	:	IL
Zip	:	60120-5518
Country	:	US
Telephone Number	:	847-243-6458
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2025
Last Update Date	:	04/21/2026

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Directions to “ KIERAN ROONEY ” Practice Location

Language	Start Address	Practice Location

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