Roland, Augustine

Roland, Augustine is an individual health care provider with primary practice located at 1301 Copperfield Ave Suite 201, Joliet IL 60432. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Roland, Augustine can be contacted via phone (815) 727-4434.

Contact Information

Primary practice address
1301 Copperfield Ave Suite 201 Joliet IL 60432
Phone: (815) 727-4434
Fax: (815) 727-4498
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036046641 Illinois

Profile Details

NPI number 1538243134
LBN Legal business name Roland, Augustine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Feb 28th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538243134 NPPES
Other 036046641 IRA

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