Individual
MR. AUGUSTINE ROLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 COPPERFIELD AVE, SUITE 201, JOLIET, IL 60432
(815) 727-4434
(815) 727-4498
Mailing address
1301 COPPERFIELD AVE, SUITE 201, JOLIET, IL 60432
(815) 727-4434
(815) 727-4498
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036046641
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036046641
IRA
—
Enumeration date
10/24/2006
Last updated
02/28/2013
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