Individual
MRS. HELOISA G. R. ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
180 N MICHIGAN AVE, STE 410, CHICAGO, IL 60601-7401
(888) 726-7170
Mailing address
180 N MICHIGAN AVE, STE 410, CHICAGO, IL 60601-7401
(888) 726-7170
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/07/2015
Last updated
01/08/2016
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