Healthcare Provider Details

I. General information

NPI: 1104370121
Provider Name (Legal Business Name): DR. MEGAN DOLORES ROSECRANS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2016
Last Update Date: 04/09/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1457 MERCHANT DR STE C
ALGONQUIN IL
60102-5917
US

IV. Provider business mailing address

1457 MERCHANT DR STE C
ALGONQUIN IL
60102-5917
US

V. Phone/Fax

Practice location:
  • Phone: 847-461-8414
  • Fax: 847-461-8384
Mailing address:
  • Phone: 847-461-8414
  • Fax: 847-461-8387

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: