Individual
MANUEL O ROJAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4254 W 55TH ST, CHICAGO, IL 60632
(773) 582-5200
(773) 582-2771
Mailing address
4254 W 55TH ST, CHICAGO, IL 60632
(773) 582-5200
(773) 582-2771
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0360496461
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036049646
—
IL
Enumeration date
10/10/2006
Last updated
06/13/2013
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