institution
Roland A. Tolliver
Foot & Ankle Surgery Podiatrist in Freeport, Illinois
NPI 1578752796

Roland A. Tolliver is a Foot & Ankle Surgery Podiatrist based in Freeport, IL and is specialized in Foot & Ankle Surgery. Roland A. Tolliver practices in Freeport, IL. The NPI Number for Roland A. Tolliver is 1578752796 and holds a License No. 016003850 (Illinois).

The current practice location address for Roland A. Tolliver is 1201 W Empire St, Freeport, IL and can be reached out via phone at 815-232-8015 and via fax at 815-235-1376.

Location: 1201 W Empire St, Freeport, IL, 61032-6106
institution
Provider Profile Details
NPI Number
1578752796
Provider Name
Roland A. Tolliver
Credential
Provider Entity Type
Organization
Address
1201 W Empire St, Freeport, IL, 61032-6106
Phone Number
815-232-8015
Fax Number
815-235-1376
Provider Enumeration Date
10/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
016003850 05 IL
0060201289 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1201 W Empire St
City
State
Zip
61032-6106
Phone Number
815-232-8015
Fax Number
815-235-1376
person
Provider Business Mailing Address Details
Address
1201 W Empire St
City
State
Zip
61032-6106
Phone Number
815-232-8015
Fax Number
815-235-1376
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
016003850 (Illinois)
Definition
Definition to come...
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