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Marcus Roach
NPI 1467970319 · on the registry since 2017
Practice
- Address
- 912 Oakcrest Dr. Apt D
Charleston, IL 61920 - Phone
- (217) 208-1415
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-08-30
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