Healthcare Provider Details

I. General information

NPI: 1649958638
Provider Name (Legal Business Name): ANNE MARIE ROONEY APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2023
Last Update Date: 02/12/2025
Certification Date: 02/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 N MILWAUKEE AVE STE 201
VERNON HILLS IL
60061-1543
US

IV. Provider business mailing address

1S450 SUMMIT AVE
OAKBROOK TERRACE IL
60181-3990
US

V. Phone/Fax

Practice location:
  • Phone: 224-490-4308
  • Fax: 224-875-3056
Mailing address:
  • Phone: 630-320-6871
  • Fax: 630-385-0026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209024698
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: