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Contact Information

ROGER W LAROSE, M.A.
1034 WARREN AVE
DOWNERS GROVE, IL60515-3601
 Phone: 312-300-7477
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Audiologist

231H00000X
Indicates primary specialty

NPI Profile & details for ROGER W LAROSE · (Male)

NPI Number 1326180837
Credentials M.A.
Entity Individual
Enumeration date 02/12/2007
Last updated 10/22/2014 - More than a year ago
Sole proprietor 1 Yes
Identifiers
IL License # 147000224
IL Medicare (Unspecified) K10740
Hospital affiliation(s) n/a
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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