Roman Criollo M.D

NPI 1699834408 - Pediatrics - 208000000X

NPI Details
NPI 1699834408
Gender Male
Enumeration Date 12/07/2006
Last Updated 02/04/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
801 E ORANGE ST
HOOPESTON IL, 60942-1802, US
Phone (217) 283-5644
Fax (217) 283-7432
Business Location
611 W. PARK ST.
BWPC
URBANA IL, 61801-2500, US
Phone (217) 383-6792
Fax (623) 849-2574
Toxanomy
Taxonomy Code 208000000X
License State Arizona
License Number 38184
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According to our database, Roman Criollo M.D NPI is 1699834408, taxonomy code is 208000000X and license number is 38184, license state is located at Arizona. Roman Criollo M.D physically located at 801 E Orange St, Hoopeston IL, 60942-1802. NPI Number Roman Criollo M.D has the Individual type.

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1699834408 NPI number is provided on an as is basis without warranty of any kind. 1699834408 is maintained by the National Plan & Provider Enumeration System. The contents of Roman Criollo M.D are for informational purposes only.