Individual
JANET RONQUILLO BARCARSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 S. SCHMIDT ROAD, SUITE 110, BOLINGBROOK, IL 60440-1737
(630) 312-4562
(630) 312-6651
Mailing address
420 S. SCHMIDT ROAD, SUITE 110, BOLINGBROOK, IL 60440-1737
(630) 312-4562
(630) 312-6651
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
06/01/2020
Last updated
11/04/2021
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