Individual
ESMERALDA ROSALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-2908
(630) 229-8968
Mailing address
2872 W PALMER ST, CHICAGO, IL 60647-1354
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125076256
IL
Other
Enumeration date
08/21/2019
Last updated
08/13/2021
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