Roach, Angela Denise

Roach, Angela Denise is an sole proprietor health care provider with primary practice located at 675 N Saint Clair St Ste 19-100 , Chicago IL 60611-5969. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Roach, Angela Denise can be contacted via phone (312) 664-3278.

Contact Information

Primary practice address
675 N Saint Clair St Ste 19-100 Chicago IL 60611-5969
Phone: (312) 664-3278
Fax: (312) 695-5774
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 209013547 Illinois

Profile Details

NPI number 1700321254
LBN Legal business name Roach, Angela Denise
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2016
Last updated Sep 14th, 2021 - about 5 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.

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