Individual
ROSALBA CHIRINOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SA
Contact information
Practice address
19015 S JODI RD STE H, MOKENA, IL 60448-8534
(866) 787-4452
Mailing address
16483 TACONITE DR, NOBLESVILLE, IN 46060-1331
(317) 998-4693
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238.00785
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
238.000785
ILLINOIS STATE LICENSE
IL
Enumeration date
05/30/2023
Last updated
05/30/2023
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