Angela Denise Roach

Primary Care Nurse Practitioner · Chicago, IL

Individual Active NPI

NPI number 1700321254

Practice location

675 N Saint Clair St Ste 19-100
Chicago, IL 60611-5969
Phone
(312) 664-3278
Fax
(312) 695-5774

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NPI record

NPI
1700321254
Entity type
Individual (Type 1)
Enumeration date
December 19, 2016
Last updated
September 14, 2021
Certified
September 14, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Primary Care Nurse Practitioner Primary 363LP2300X 209013547 IL

About Angela Roach

Angela Denise Roach is a healthcare provider registered in the NPI registry with the primary taxonomy Primary Care Nurse Practitioner (code 363LP2300X). The practice location is 675 N Saint Clair St Ste 19-100, Chicago, IL 60611-5969. The NPI number 1700321254 was assigned on December 19, 2016 and the record was last updated on September 14, 2021.

Angela Roach lists a license in the registry: #209013547 (IL) for Primary Care Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Angela Denise Roach?

The NPI number is 1700321254.

What is the phone number of Angela Roach?

The phone number listed for the practice location is (312) 664-3278.

Where is Angela Roach located?

675 N Saint Clair St Ste 19-100, Chicago, IL 60611-5969.

What is the taxonomy code for Angela Roach?

The primary taxonomy code is 363LP2300X – Primary Care Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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