Provider Demographics
NPI:1053634295
Name:ORTEGA, ROXANA M (INTERPRETER)
Entity Type:Individual
Prefix:MRS
First Name:ROXANA
Middle Name:M
Last Name:ORTEGA
Suffix:
Gender:F
Credentials:INTERPRETER
Other - Prefix:MRS
Other - First Name:ROXANA
Other - Middle Name:M
Other - Last Name:ORTEGA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:INTERPRETER
Mailing Address - Street 1:2311 N MASON AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60639-2211
Mailing Address - Country:US
Mailing Address - Phone:773-622-3473
Mailing Address - Fax:773-681-7263
Practice Address - Street 1:2311 N MASON AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60639-2211
Practice Address - Country:US
Practice Address - Phone:773-622-3473
Practice Address - Fax:773-681-7263
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-02
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter