Individual
EMMY ROESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
20960 S FRANKFORT SQUARE RD STE C, FRANKFORT, IL 60423-5127
(815) 469-7100
Mailing address
16738 W NATOMA DR, LOCKPORT, IL 60441-6236
(815) 370-9533
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.016971
IL
Other
Enumeration date
12/12/2017
Last updated
10/11/2021
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