SearchIllinois343900000X

Bartolo Roa

NPI 1740058460 · on the registry since 2023 · sole proprietor

Practice

Address
166 W Maple Ave
Wauconda, IL 60084
Phone
(773) 556-5696

Registry record

Primary taxonomy
343900000X
343900000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-12-12

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