Healthcare Provider Details

I. General information

NPI: 1801750237
Provider Name (Legal Business Name): ALDRIN ROMAN
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2130 POINT BLVD
ELGIN IL
60123-9215
US

IV. Provider business mailing address

2130 POINT BLVD
ELGIN IL
60123-9215
US

V. Phone/Fax

Practice location:
  • Phone: 224-548-8417
  • Fax:
Mailing address:
  • Phone: 224-548-8417
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-25-86298
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: