Organization
MANUEL O ROJAS
Active
Other names
MANUEL O ROJAS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL O ROJAS MD (OWNER)
(773) 582-5200
Entity
Organization
Contact information
Practice address
4254 W 55TH ST, CHICAGO, IL 60632-4642
(773) 582-5200
(773) 582-2772
Mailing address
4254 W 55TH ST, CHICAGO, IL 60632-4642
(773) 582-5200
(773) 582-2772
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036049646
IL
261QP2300X
Primary Care Clinic/Center
036103907
IL
261QP2300X
Primary Care Clinic/Center
036117332
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036049646
—
IL
05
—
036103907
—
IL
05
—
036117332
—
IL
Enumeration date
10/22/2010
Last updated
10/22/2010
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