Individual
NATALIA ROQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5841 S MARYLAND AVE # 3077, CHICAGO, IL 60637-1443
(773) 834-0373
(773) 702-4297
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
125.077461
IL
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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