Individual
NORA ROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1725 W HARRISON ST STE 1156, CHICAGO, IL 60612-3852
(312) 563-2762
(312) 563-4388
Mailing address
1725 W HARRISON ST STE 1156, CHICAGO, IL 60612-3852
(312) 563-2762
(312) 563-4388
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA4687
MA
Other
Enumeration date
07/11/2013
Last updated
10/27/2020
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