Individual
COLLEEN ROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
5700 S MARYLAND AVE, CHICAGO, IL 60637-1426
(773) 926-8430
Mailing address
5700 S MARYLAND AVE, CHICAGO, IL 60637-1426
(773) 926-8430
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.021922
IL
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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