Individual
JACQUELINE ANGELINA ROLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
900 SKOKIE BLVD STE 150, NORTHBROOK, IL 60062-4038
(847) 497-2020
Mailing address
900 SKOKIE BLVD STE 150, NORTHBROOK, IL 60062-4038
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011785
IL
Other
Enumeration date
08/28/2023
Last updated
07/28/2026
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