Rommel Rosaldo

Primary specialty

Infection Control Registered NurseTaxonomy code 163WI0600X

License

041436294 Issued in IL

Practice address

143Rd St
NA
Homer Glen, IL 60491-5896

Phone

(708) 446-8448

Fax

(708) 590-5131

NPI assigned

Mar 15, 2024

Last updated

Mar 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1083473714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143RD ST",
            "address_2": "NA",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604915896",
            "telephone_number": "708-446-8448",
            "fax_number": "708-590-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143RD ST",
            "address_2": "NA",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604915896",
            "telephone_number": "708-446-8448",
            "fax_number": "708-590-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSALDO",
        "first_name": "ROMMEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infection Control",
            "state": "IL",
            "license": "041436294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Infection Control Registered Nurse in Homer Glen, IL
• Providers in Homer Glen, IL by specialty
• Infection Control Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.