SearchIllinois1041C0700X

Roland Aguocha, QIDP

NPI 1184176448 · on the registry since 2016 · sole proprietor

Practice

Address
701 W Lamm Rd
Freeport, IL 61032
Phone
(815) 233-6162
Organisation at this address
Willowglen Academy
Willowglen Academy
Willowglen Academy Il
Willowglen Academy Illinois
Willowglen Academy Illinois
Inferred from a shared address, not stated in the registry.
Clinicians at this address
27

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-12-26

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