SearchIllinois235Z00000X

Maciel Roa

NPI 1659072387 · on the registry since 2023

Practice

Address
7423 Madison St
Forest Park, IL 60130
Phone
(708) 435-4130
Clinicians at this address
3

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-11

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