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NPI Code Detail

MEDICARE: DR. MICHELLE ROJAS M.D.

MEDICARE: DR. MICHELLE ROJAS M.D.
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
1208000000XPediatrics Physician036.117332IL

General Provider Information

NPI Number : 1629105739
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHELLE ROJAS M.D.
Provider Business Mailing Address
First Line : 4254 W 55TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60632-4642
Country : US
Telephone Number : 773-582-5200
Fax Number : 773-582-2772
Provider Business Practice Location Address
First Line : 4254 W 55TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60632-4642
Country : US
Telephone Number : 773-582-5200
Fax Number : 773-582-2772
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2007
Last Update Date : 08/31/2010

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Directions to “ DR. MICHELLE ROJAS M.D.” Practice Location

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