Individual
ROMULO A. NAZARENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 S STATE ST, ELGIN, IL 60123-7612
(847) 742-1040
Mailing address
115 NORTHWOODS LN, BLOOMINGDALE, IL 60108-2556
(630) 980-4365
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036077795
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036077795
MEDICAL LICENSE
IL
Enumeration date
12/12/2006
Last updated
07/08/2007
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