Individual
FLORENCE AMIRDHAM ROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
9977 WOODS DR STE 100, SKOKIE, IL 60077-1057
(224) 364-2273
(847) 663-8290
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 570-2040
(847) 733-5315
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036108887
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036108887
—
IL
01
—
1619414
BCBS GROUP
IL
05
—
3633309286030501
—
IL
Enumeration date
06/30/2006
Last updated
01/26/2026
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