Dr. Mario A Roldan, M.D
Obstetrics & Gynecology in Chicago, IL. Individual provider (NPI-1).
NPI number1841237658
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1841237658
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mario A Roldan
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 1, 2006
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 36050636 | IL | Yes |
| 207V00000X | Obstetrics & Gynecology | 01058156A | IN |
Practice location
1044 N Mozart StChicago, IL 60622-2789
Phone 888-676-5326 · Fax 773-276-3179
Mailing address
4314 W Pratt AveLincolnwood, IL 60712-3535
Phone 847-679-0494 · Fax 773-276-3179
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