Individual
CLARENCE G ROJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
9125 S PULASKI RD, EVERGREEN PARK, IL 60805-1441
(708) 422-7715
(708) 422-7816
Mailing address
120 W 22ND ST STE 200, OAK BROOK, IL 60523-1563
(630) 573-5000
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
209012987
IL
Other
Enumeration date
10/30/2019
Last updated
02/03/2023
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