Maria I Al-Basha, MD
Dermatology in Rockford, IL. Individual provider (NPI-1).
NPI number1922199967
StatusActive
Last updated in NPPESMar 20, 2026
Details
- NPI
- 1922199967
- Entity type
- Individual (NPI-1)
- Name
- Maria I Al-Basha
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 27, 2006
- Certification date
- Mar 20, 2026
- Last updated
- Mar 20, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 036079495 | IL | Yes |
Other names
- Elizabeth Roehrs (Former Name)
Practice location
1639 N Alpine RdRockford, IL 61107-1449
Phone 815-229-9333
Mailing address
Po Box 775541Chicago, IL 60677-5541
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