Individual
ELVI ROCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4641 W DIVERSEY AVE, CHICAGO, IL 60639-1828
(773) 692-4147
Mailing address
1440 W FILLMORE ST UNIT 504, CHICAGO, IL 60607-5212
(267) 304-5483
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019036802
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/16/2022
Last updated
02/04/2026
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