Individual
MISS ANGELICA MARIA ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A
Contact information
Practice address
6918 WINDSOR AVE, BERWYN, IL 60402-3334
(708) 795-5059
Mailing address
6918 WINDSOR AVE, BERWYN, IL 60402-3334
(708) 795-5059
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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