Rosaupan, Irving Ballena

Rosaupan, Irving Ballena is an sole proprietor health care provider with primary practice located at 675 S Roselle Rd , Schaumburg IL 60193-3100. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation, which is considered as his primary health care specialty. Rosaupan, Irving Ballena can be contacted via phone (847) 352-5500.

Contact Information

Primary practice address
675 S Roselle Rd Schaumburg IL 60193-3100
Phone: (847) 352-5500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation 225XP0019X 056007816 Illinois

Profile Details

NPI number 1760759260
LBN Legal business name Rosaupan, Irving Ballena
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2011
Last updated Nov 28th, 2011 - about 14 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 1760759260 NPPES
Illinois Other 056007816 ILLINOIS OCCUPATIONAL THERAPY LICENSE

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