Individual
DR. KATHLEEN MARIE ROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
5003 N ILLINOIS ST, SUITE 2, FAIRVIEW HEIGHTS, IL 62208-3419
(618) 234-1455
(618) 277-3475
Mailing address
17 PARK PL, SWANSEA, IL 62226-2969
(618) 234-1455
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038008683
IL
Other
Enumeration date
04/10/2007
Last updated
08/20/2018
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