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Individual

DR. MARIO A ROLDAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1044 N MOZART ST, CHICAGO, IL 60622-2789
(888) 676-5326
(773) 276-3179
Mailing address
4314 W PRATT AVE, LINCOLNWOOD, IL 60712-3535
(847) 679-0494
(773) 276-3179

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01058156A
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
36050636
IL

Other

Enumeration date
06/01/2006
Last updated
07/09/2007
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