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Therese Roche
Family Nurse Practitioner in New Lenox, Illinois
NPI 1740460286

Therese Roche is a Family Nurse Practitioner based in New Lenox, IL and is specialized in Family. Therese Roche practices in New Lenox, IL. The NPI Number for Therese Roche is 1740460286 and holds a License No. 209.006815 (Illinois).

The current practice location address for Therese Roche is 1900 Silver Cross Blvd, New Lenox, IL and can be reached out via phone at 815-300-1100.

Location: 1900 Silver Cross Blvd, New Lenox, IL, 60451-9509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740460286
Provider Name
Therese Roche
Credential
Provider Entity Type
Individual
Gender
Female
Address
1900 Silver Cross Blvd, New Lenox, IL, 60451-9509
Phone Number
815-300-1100
Fax Number
Provider Enumeration Date
11/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00608770 01 IL RR MEDICARE GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
1900 Silver Cross Blvd
City
New Lenox
State
Illinois
Zip
60451-9509
Phone Number
815-300-1100
Fax Number
person
Provider Business Mailing Address Details
Address
1900 Silver Cross Blvd
City
New Lenox
State
Illinois
Zip
60451-9509
Phone Number
815-300-1100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209.006815 (Illinois)
Definition
Definition to come...
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