Search › Illinois › 183500000X
Ernest Roales
NPI 1053810390 · on the registry since 2018 · sole proprietor
Practice
- Address
- 208 N Main St
Bridgeport, IL 62417 - Phone
- (618) 945-3701
- Fax
- (618) 945-9382
- Organisation at this address
- Ernest & Susan L Roales
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-02-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois