# ROLAND A. TOLLIVER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Freeport Podiatry Services, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578752796
- **Authorized official:** DR. ROLAND A TOLLIVER JR. D.P.M. (MEMBER)
- **Authorized official phone:** (815) 232-8015

## Contact information

- **Practice address:** 1201 W EMPIRE ST, FREEPORT, IL 61032-6106
- **Practice address phone:** (815) 232-8015
- **Practice address fax:** (815) 235-1376
- **Mailing address:** 1201 W EMPIRE ST, FREEPORT, IL 61032-6106
- **Mailing address phone:** (815) 232-8015
- **Mailing address fax:** (815) 235-1376

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 016003850 | IL | Yes |

## Other

- **Enumeration date:** 10/24/2007
- **Last updated:** 06/12/2008