Individual
MIA K ROLLYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MA
Contact information
Practice address
5215 N CALIFORNIA AVE # 101, CHICAGO, IL 60625-7014
(773) 561-5809
(773) 561-5946
Mailing address
5215 N CALIFORNIA AVE # 101, CHICAGO, IL 60625-7014
(773) 561-5809
(773) 561-5946
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
041-236508
IL
Other
Enumeration date
06/07/2017
Last updated
06/07/2017
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