Roleck, Jeffrey

Roleck, Jeffrey is an individual health care provider with primary practice located at 900 N Westmoreland Rd Suite 110, Lake Forest IL 60045-1674. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Roleck, Jeffrey can be contacted via phone (847) 295-1220.

Contact Information

Primary practice address
900 N Westmoreland Rd Suite 110 Lake Forest IL 60045-1674
Phone: (847) 295-1220
Fax: (847) 295-1255
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 36093555 Illinois

Profile Details

NPI number 1619904042
LBN Legal business name Roleck, Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619904042 NPPES
Illinois MEDICAID 36093555

Popular Providers