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AUTUMN ROSE ROLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
25 N WINFIELD RD STE 405, WINFIELD, IL 60190-1379
(630) 790-1221
(630) 653-1091
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
085.003654
IL
363A00000X
Physician Assistant
Primary
085003654
IL

Other

Enumeration date
12/24/2009
Last updated
07/26/2023
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