Avalos, Rose
Avalos, Rose is an sole proprietor health care provider with primary practice located at 3062 E 91St St , Chicago IL 60617-4401. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Avalos, Rose can be contacted via phone (773) 371-2900.Contact Information
Primary practice address
3062 E 91St St
Chicago IL 60617-4401
Phone: (773) 371-2900
Fax: (773) 371-2950
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1043693047 |
|---|---|
| LBN Legal business name | Avalos, Rose |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 8th, 2015 |
| Last updated | Jul 8th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043693047 | NPPES |
| Illinois | MEDICAID | 362167940 |
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