Individual
ARVIN ROQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
254 E ALPINE DR, GLENDALE HEIGHTS, IL 60139-2102
(312) 823-9794
Mailing address
254 E ALPINE DR, GLENDALE HEIGHTS, IL 60139-2102
(312) 823-9794
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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