Individual
LUZ E DE LA ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22700 RICHTON SQUARE RD, RICHTON PARK, IL 60471-2504
(708) 283-2706
Mailing address
7500 W. 162 STREET, N/A, TINLEY PARK, IL 60477
(708) 466-3570
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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