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Individual

DR. DOUGLAS K ROVIRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(888) 824-0200
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036174312
IL
207RH0003X
Hematology & Oncology Physician
27701
CO
207RX0202X
Medical Oncology Physician
DR.0027701
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01277011
CO
01
830346340
TAX ID
CO
01
900004428
RR MEDICARE
CO
Enumeration date
06/01/2005
Last updated
10/09/2025
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