Roman, Alan Marshall

Roman, Alan Marshall is an individual health care provider with primary practice located at 2320 High St , Blue Island IL 60406-2426. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Roman, Alan Marshall can be contacted via phone (708) 388-5500.

Contact Information

Primary practice address
2320 High St Blue Island IL 60406-2426
Phone: (708) 388-5500
Fax: (708) 388-5672
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036060612 Illinois

Profile Details

NPI number 1659335578
LBN Legal business name Roman, Alan Marshall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated May 16th, 2016 - about 9 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 1659335578 NPPES
Illinois Other 020036557 RAILROAD MEDICARE
Illinois MEDICAID 036060612 RAILROAD MEDICARE

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