Roland, Autumn Rose
Roland, Autumn Rose is an individual health care provider with primary practice located at 25 N Winfield Rd Ste 405 , Winfield IL 60190-1379. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Roland, Autumn Rose can be contacted via phone (630) 790-1221.Contact Information
Primary practice address
25 N Winfield Rd Ste 405
Winfield IL 60190-1379
Phone: (630) 790-1221
Fax: (630) 653-1091
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085003654 | Illinois |
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 085.003654 | Illinois |
Profile Details
NPI number | 1073842993 |
---|---|
LBN Legal business name | Roland, Autumn Rose |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 24th, 2009 |
Last updated | Jul 26th, 2023 - about 2 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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