Individual
DANIEL ROCHE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
242 W. MAPLE DRIVE, CHICAGO HEIGHTS, IL 60411-2070
(708) 754-2592
Mailing address
242 W MAPLE DR, CHICAGO HEIGHTS, IL 60411-2070
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
01/08/2008
Last updated
01/08/2008
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