REGINA H ROCHA DDS, MS, PC
Managed Care Organizations at Cortland St, Chicago, IL

License number
Illinois 319016492
Category
Managed Care Organizations
Type
Point of Service
Owner
Name: DR. REGINA H ROCHA DDS
Title: DOCTOR/OWNER
Phone: (773) 697-4348
Address
Address
1649 W Cortland St UNIT C-101, Chicago, IL 60622
National Provider ID: 1588918684
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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REGINA H. ROCHA, D.D.S., M.S., PC

Chicago, IL 60601

Registration:
Jun 4, 2009
State ID:
66615545
Business type:
DOMESTIC BCA
Expiration:
PERPETUAL
Agent:
Kipp M Imel,760 Vlg Ctr Dr STE 240, Willowbrook, IL 60527 (Physical)

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