DoctorLicensePro

Dr. Matilda M Rosanwo, MD

Family Medicine

NPI: 1871570978 Illinois
76/100
GoodTrusted

Trust Score based on license status, disciplinary record, board certification, experience, and data freshness.

Score Breakdown

License Status15/30

unknown

Disciplinary Record25/25

0 action(s)

Board Certification15/20

Not verified

Years in Practice15/15

21 years

Data Freshness6/10

Updated 2809 days ago

License Status

IllinoisActive
License #

036104686

Issued

May 14, 2001

Expires

Jul 31, 2026

Practice Information

Address
360 STATION DR
CRYSTAL LAKE, IL 60014
Phone
(815) 338-6600
In Practice Since
December 29, 2005
Data Last Updated
October 22, 2018

NPI Details

NPI Number
1871570978
Status
Active
Taxonomy Code
207Q00000X
Data sourced from CMS NPPES public database. Last verified: October 22, 2018. Report an error