| Rosecrance Inc | |
|
1021 N Mulford Rd Rockford IL 61107-3877 | |
| (815) 391-1000 | |
| (815) 316-4726 |
| Full Name | Rosecrance Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1021 N Mulford Rd, Rockford, Illinois |
| Authorized Official Name and Position | Philip W Eaton (PRESIDENT / CEO) |
| Authorized Official Contact | 8153911000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosecrance Inc 1021 N Mulford Rd Rockford IL 61107-3877 Ph: (815) 391-1000 | Rosecrance Inc 1021 N Mulford Rd Rockford IL 61107-3877 Ph: (815) 391-1000 |
| NPI Number | 1013289446 |
|---|---|
| Provider Enumeration Date | 02/01/2012 |
| Last Update Date | 05/21/2013 |
| Medicare PECOS PAC ID | 3779656582 |
|---|---|
| Medicare Enrollment ID | O20130502000371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013289446 | NPI | - | NPPES |
| Provider Name | Richard Jaconette |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578785432 PECOS PAC ID: 3971408915 Enrollment ID: I20031203000630 |
| Provider Name | Alvydas J Baris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821029091 PECOS PAC ID: 7012800444 Enrollment ID: I20040207000258 |
| Provider Name | Reginald A Givens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568533701 PECOS PAC ID: 5597655316 Enrollment ID: I20040317000046 |
| Provider Name | Adrienne L Adams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578661781 PECOS PAC ID: 9830186741 Enrollment ID: I20040430000368 |
| Provider Name | Mehtab Mizan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104976380 PECOS PAC ID: 8123003548 Enrollment ID: I20040621001052 |
| Provider Name | Carrie L Sharkey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295725323 PECOS PAC ID: 1153394556 Enrollment ID: I20040813001257 |
| Provider Name | Carol J Claxon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487927372 PECOS PAC ID: 3577536465 Enrollment ID: I20040818000754 |
| Provider Name | Therese M Lucietto-sieradzki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699708636 PECOS PAC ID: 5395706774 Enrollment ID: I20041019001296 |
| Provider Name | Semone Michelle West |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750475109 PECOS PAC ID: 1759332596 Enrollment ID: I20050209000293 |
| Provider Name | Desiree A Rahman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871679522 PECOS PAC ID: 3971549718 Enrollment ID: I20050701000717 |
| Provider Name | Narain D Mandhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730170655 PECOS PAC ID: 7517852767 Enrollment ID: I20051228000257 |
| Provider Name | Shahina H Jafry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053383737 PECOS PAC ID: 8729097829 Enrollment ID: I20060418000712 |
| Provider Name | Dennis R Brightwell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841288420 PECOS PAC ID: 4981615028 Enrollment ID: I20060605000250 |
| Provider Name | John D Benton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639358039 PECOS PAC ID: 3072679729 Enrollment ID: I20090304000235 |
| Provider Name | Traci R Gunnells |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083750038 PECOS PAC ID: 5991844276 Enrollment ID: I20091125000541 |
| Provider Name | Chandragupta Vedak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871592881 PECOS PAC ID: 0244305233 Enrollment ID: I20101026000754 |
| Provider Name | Evan Silvi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891988010 PECOS PAC ID: 6507052412 Enrollment ID: I20101117001593 |
| Provider Name | Joseph M Neubauer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801896329 PECOS PAC ID: 8022168137 Enrollment ID: I20101122001143 |
| Provider Name | Jorge E Fernald |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912056326 PECOS PAC ID: 5698962165 Enrollment ID: I20101209000544 |
| Provider Name | Raymond Garcia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245217959 PECOS PAC ID: 5799973921 Enrollment ID: I20110103000546 |
| Provider Name | Lynn Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295039873 PECOS PAC ID: 5597948109 Enrollment ID: I20110318000832 |
| Provider Name | Eric R Onsgard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043566094 PECOS PAC ID: 6103069067 Enrollment ID: I20130826000715 |
| Provider Name | Laura Anne Bonsky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487806394 PECOS PAC ID: 5698835890 Enrollment ID: I20150107000986 |
| Provider Name | Thomas E Wright |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639182868 PECOS PAC ID: 6406857507 Enrollment ID: I20150723006767 |
| Provider Name | Sherry T Aleksich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114173523 PECOS PAC ID: 3870652225 Enrollment ID: I20151223000181 |
| Provider Name | Kimberleigh Hagar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205254760 PECOS PAC ID: 7911202882 Enrollment ID: I20160302000213 |
| Provider Name | Christine L Grundeman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235438417 PECOS PAC ID: 6002112380 Enrollment ID: I20160314000003 |
| Provider Name | Amy Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689927766 PECOS PAC ID: 8820387913 Enrollment ID: I20161102002757 |
| Provider Name | Julie A Worley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285613059 PECOS PAC ID: 5395787261 Enrollment ID: I20170124000524 |
| Provider Name | Livia L Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215290101 PECOS PAC ID: 0042462277 Enrollment ID: I20170208002751 |
| Provider Name | Lisa Chico |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417366394 PECOS PAC ID: 1254698798 Enrollment ID: I20171208000048 |
| Provider Name | Kristen Lynn Brokaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851806335 PECOS PAC ID: 4284993791 Enrollment ID: I20180108003103 |
| Provider Name | Carol Bradford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275041758 PECOS PAC ID: 1759644396 Enrollment ID: I20180413000920 |
| Provider Name | John S Cummins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023427416 PECOS PAC ID: 1557606175 Enrollment ID: I20181228002126 |
| Provider Name | Lynne A Schweppe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821391640 PECOS PAC ID: 6103095047 Enrollment ID: I20190409000168 |
| Provider Name | Paige Lynn Ryan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184059859 PECOS PAC ID: 7618219122 Enrollment ID: I20190503000088 |
| Provider Name | Alecia Lanette Greenlee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487072922 PECOS PAC ID: 4688977325 Enrollment ID: I20190708001233 |
| Provider Name | Ayesha K Ashai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174866800 PECOS PAC ID: 4082912209 Enrollment ID: I20190722001232 |
| Provider Name | Candice J Holder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376976530 PECOS PAC ID: 9032353206 Enrollment ID: I20190730000172 |
| Provider Name | Solomon G Zaraa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619170990 PECOS PAC ID: 3173715000 Enrollment ID: I20191028002315 |
| Provider Name | Laura L Meade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417502253 PECOS PAC ID: 5991037574 Enrollment ID: I20191031001176 |
| Provider Name | Salman Kazim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154437457 PECOS PAC ID: 1153410360 Enrollment ID: I20200123001417 |
| Provider Name | Sophie Mbua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811534902 PECOS PAC ID: 4688002314 Enrollment ID: I20200311002817 |
| Provider Name | Debra Corrigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043582273 PECOS PAC ID: 3577987502 Enrollment ID: I20200722003484 |
| Provider Name | Viengkeo Chanthaloth- Phasouk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366920811 PECOS PAC ID: 1153748447 Enrollment ID: I20200901002564 |
| Provider Name | Shannon Marie Ferriter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417435652 PECOS PAC ID: 5496169666 Enrollment ID: I20210129000305 |
| Provider Name | Lindsey Stewart |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689036758 PECOS PAC ID: 0042599227 Enrollment ID: I20210722002921 |
| Provider Name | Neil Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295319531 PECOS PAC ID: 9638573900 Enrollment ID: I20210809001815 |
| Provider Name | Ryan M Sheehan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235697954 PECOS PAC ID: 1456755776 Enrollment ID: I20210810000176 |
| Provider Name | Christopher Lombardi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578097846 PECOS PAC ID: 3072910942 Enrollment ID: I20210920000991 |
| Provider Name | Ian Powell |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1346212545 PECOS PAC ID: 3274528591 Enrollment ID: I20211005003208 |
| Provider Name | Cynthia Clark Cushman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518934884 PECOS PAC ID: 9931146743 Enrollment ID: I20211118000060 |
| Provider Name | Derenda Beasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386120343 PECOS PAC ID: 3072934512 Enrollment ID: I20220418002180 |
| Provider Name | Dillon S Murray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972140648 PECOS PAC ID: 1759757636 Enrollment ID: I20221018001067 |
| Provider Name | Joshua Ackerman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548677974 PECOS PAC ID: 7719297407 Enrollment ID: I20221221000642 |
| Provider Name | Blaine Minton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700224250 PECOS PAC ID: 4385885854 Enrollment ID: I20221221002411 |
| Provider Name | Crystal Monique Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528780392 PECOS PAC ID: 5294108056 Enrollment ID: I20230227002521 |
| Provider Name | Dorothy Deette Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497883169 PECOS PAC ID: 4587757042 Enrollment ID: I20230327002200 |
| Provider Name | Ellen Isabelle Nicol |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851092100 PECOS PAC ID: 3779958798 Enrollment ID: I20230405001104 |
| Provider Name | Puneet Lakhmani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760046049 PECOS PAC ID: 1557694338 Enrollment ID: I20230405001810 |
| Provider Name | Munjerina Ahmd Munmun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295149920 PECOS PAC ID: 7315300530 Enrollment ID: I20230905003435 |
| Provider Name | Mojisola Adedoyin Ayorinde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013611987 PECOS PAC ID: 4183079965 Enrollment ID: I20231013002598 |
| Provider Name | Christina A Schneider |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528660867 PECOS PAC ID: 3779939525 Enrollment ID: I20231031000117 |
| Provider Name | Melissa Lee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124504428 PECOS PAC ID: 2163872359 Enrollment ID: I20240101000092 |
| Provider Name | Amber Vowles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477825990 PECOS PAC ID: 0941652705 Enrollment ID: I20240117001444 |
| Provider Name | Holly Brun |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013493410 PECOS PAC ID: 2163874934 Enrollment ID: I20240117001706 |
| Provider Name | Alexandra Kane |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124418314 PECOS PAC ID: 8224480074 Enrollment ID: I20240117004335 |
| Provider Name | Kim Shird |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205873460 PECOS PAC ID: 1355784943 Enrollment ID: I20240212000516 |
| Provider Name | Robert Laib |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043435910 PECOS PAC ID: 2062851405 Enrollment ID: I20240417002658 |
| Provider Name | Steven J Bloomfield |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194927194 PECOS PAC ID: 0840732756 Enrollment ID: I20240606003487 |
| Provider Name | Maria Chinweze Enujiofor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598230146 PECOS PAC ID: 0143762948 Enrollment ID: I20240607002977 |
| Provider Name | Robert Lewis Stymets |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093053316 PECOS PAC ID: 3971045527 Enrollment ID: I20240611001046 |
| Provider Name | Danielle Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437769841 PECOS PAC ID: 2769925106 Enrollment ID: I20240613003426 |
| Provider Name | Lilliana Klay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407583768 PECOS PAC ID: 9436694882 Enrollment ID: I20240710003468 |
| Provider Name | Toya Rhashinda Hodges |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033970561 PECOS PAC ID: 8820534464 Enrollment ID: I20240719001029 |
| Provider Name | Rachel Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699959635 PECOS PAC ID: 1153467998 Enrollment ID: I20240730000608 |
| Provider Name | Victoria Malinowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780277129 PECOS PAC ID: 5991242463 Enrollment ID: I20240801001796 |
| Provider Name | Aneta Khan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699485524 PECOS PAC ID: 1759816911 Enrollment ID: I20241125001853 |
| Provider Name | Gregory Reid Brighton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134829286 PECOS PAC ID: 3678000858 Enrollment ID: I20241230002154 |
| Provider Name | Veronica Natalie Flores |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003572173 PECOS PAC ID: 4587193131 Enrollment ID: I20250127000917 |
| Provider Name | Dralisa Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326773698 PECOS PAC ID: 3476082793 Enrollment ID: I20250130002927 |
| Provider Name | Grace Eiden |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1699410860 PECOS PAC ID: 3870023039 Enrollment ID: I20250204001317 |
| Provider Name | Lisa Espig |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306464185 PECOS PAC ID: 8628591484 Enrollment ID: I20250402001352 |
| Provider Name | Suzette Antoinette Isokpunwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942099486 PECOS PAC ID: 0446779987 Enrollment ID: I20250528001167 |
| Provider Name | Adla Martina Adubofour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790476695 PECOS PAC ID: 2860902848 Enrollment ID: I20250609002968 |
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