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Mr. Bartolo Roa
Non-emergency Medical Transport (VAN) in Wauconda, Illinois
NPI 1740058460

Bartolo Roa is a Non-emergency Medical Transport (VAN) based in Wauconda, IL. Bartolo Roa practices in Wauconda, IL. The NPI Number for Bartolo Roa is 1740058460 and holds a License No. R00006075241 (Illinois).

The current practice location address for Bartolo Roa is 166 W Maple Ave, Wauconda, IL and can be reached out via phone at 773-556-5696.

Location: 166 W Maple Ave, Wauconda, IL, 60084-1818
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740058460
Provider Name
Bartolo Roa
Credential
Provider Entity Type
Individual
Gender
Male
Address
166 W Maple Ave, Wauconda, IL, 60084-1818
Phone Number
773-556-5696
Fax Number
Provider Enumeration Date
12/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
166 W Maple Ave
City
Wauconda
State
Illinois
Zip
60084-1818
Phone Number
773-556-5696
Fax Number
person
Provider Business Mailing Address Details
Address
166 W Maple Ave
City
Wauconda
State
Illinois
Zip
60084-1818
Phone Number
773-556-5696
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
R00006075241 (Illinois)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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