Individual
AMANDA LYNN ROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
270 N KINGSWAY DR, AURORA, IL 60506-4521
(630) 849-4670
Mailing address
270 N KINGSWAY DR, AURORA, IL 60506-4521
(630) 849-4670
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-006202
IL
Other
Enumeration date
06/07/2017
Last updated
07/21/2022
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