MARIA I AL-BASHA

ROCKFORD, IL
NPI1922199967
Former NameELIZABETH ROEHRS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207N00000X Dermatology
(Licence: IL  036079495)
Enumeration Date2006-09-27
Last Update Date2018-06-21
Business Address
MARIA I AL-BASHA MD
1639 N ALPINE RD
ROCKFORD, IL 61107-1449
Phone number: 815-229-9333
Mailing Address
MARIA I AL-BASHA MD
PO BOX 775541
CHICAGO, IL 60677-5541
Phone number:
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