Individual
THERESA ROCHELLE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 N PARKSIDE AVE, CHICAGO, IL 60644-2258
(773) 287-0407
(773) 287-0407
Mailing address
240 N PARKSIDE AVE, CHICAGO, IL 60644-2258
(773) 287-0407
(773) 287-0407
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.276425
IL
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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