Roche, Florence A

Roche, Florence A is an individual health care provider with primary practice located at Resurrection Immediate Care Center 7230 W. North Ave, Ste 106 B, Elmwood Park IL 60707-4262. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Roche, Florence A can be contacted via phone (708) 453-3000.

Contact Information

Primary practice address
Resurrection Immediate Care Center 7230 W. North Ave, Ste 106 B Elmwood Park IL 60707-4262
Fax: (708) 453-4660
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036108887 Illinois

Profile Details

NPI number 1922037308
LBN Legal business name Roche, Florence A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Jun 25th, 2009 - about 15 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 1922037308 NPPES
Illinois MEDICAID 036108887
Illinois Other 1619414
Illinois MEDICAID 3633309286030501

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