Provider Demographics
NPI:1609200328
Name:URIOSTEGUI, ROSA MARGARET
Entity type:Individual
Prefix:
First Name:ROSA
Middle Name:MARGARET
Last Name:URIOSTEGUI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2117 EDGEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:WAUKEGAN
Mailing Address - State:IL
Mailing Address - Zip Code:60087-1442
Mailing Address - Country:US
Mailing Address - Phone:224-730-8387
Mailing Address - Fax:
Practice Address - Street 1:2117 EDGEWOOD RD
Practice Address - Street 2:
Practice Address - City:WAUKEGAN
Practice Address - State:IL
Practice Address - Zip Code:60087-1442
Practice Address - Country:US
Practice Address - Phone:224-730-8387
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-29
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter