MEDICARE: MS. MARGARET ROMANO PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	085.004519	IL

General Provider Information

NPI Number	:	1518391283
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARGARET ROMANO PA-C

Provider Business Mailing Address
First Line	:	843 N WYNCROFT PL
Second Line	:
City	:	ADDISON
State	:	IL
Zip	:	60101-1732
Country	:	US
Telephone Number	:	630-965-2935
Fax Number	:

Provider Business Practice Location Address
First Line	:	1009 W FULTON MARKET
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-1222
Country	:	US
Telephone Number	:	312-733-2492
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2013
Last Update Date	:	08/29/2013

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