Daniel Roche I
Individual provider Active NPI Specialist · Chicago Heights, IL
NPI 1861677833 · NPPES record last updated Jan 8, 2008
Key facts
- NPI
- 1861677833
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 242 W. Maple Drive
Chicago Heights, IL 60411-2070 - Phone
- (708) 754-2592
- NPI assigned
- Jan 8, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | IL | Yes |
Addresses
Primary practice location
242 W. Maple Drive
Chicago Heights, IL 60411-2070
Mailing address
242 W Maple Dr
Chicago Heights, IL 60411-2070
Other providers in Chicago Heights, IL
- Riviera Care Center, LLC
- Riviera Care Center, LLC
- Riviera Manor Nursing Home
- Joyce Ann Robinson
- Kimala Robinson
- Dianna Rodriguez
- Joseph Paul Rodriguez
- Maria De Los Angeles Rodriguez
- Natasha Rollins
- Rebecca Alejandra Rosales
All providers in Chicago Heights, IL · Specialist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.