Individual
STEPHANIE ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41W400 SILVER GLEN RD, SAINT CHARLES, IL 60175-8453
(630) 940-1100
Mailing address
41W400 SILVER GLEN RD, SAINT CHARLES, IL 60175-8453
(630) 940-1100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
04148116
IL
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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