Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BARTOLO ROA
Active Sole ProprietorMR. BARTOLO ROA is a Bus healthcare provider located in WAUCONDA, Illinois. NPI 1740058460 is currently active in the NPPES registry. Verify at CMS.
Bus · WAUCONDA, IL
Registration Details
- NPI Number
- 1740058460
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 12, 2023 (2.7063641398919 yrs)
- Last Updated
- Dec 12, 2023
- License
-
R00006075241 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
166 W MAPLE AVEWAUCONDA, IL, 600841818Browse IL providers · Browse ZIP 60084
- Phone
- 7735565696
- Primary Specialty
-
Bus
343900000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.