Search › Illinois › 101YM0800X
Jenny Roark
NPI 1932484771 · on the registry since 2011
Practice
- Address
- Rr 1 Box 277
Lawrenceville, IL 62439 - Phone
- (618) 943-3754
- Fax
- (618) 943-3657
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-10-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois