Provider Demographics
NPI:1114364312
Name:YARCIA, ROMMEL RAMEL (RN)
Entity Type:Individual
Prefix:MR
First Name:ROMMEL
Middle Name:RAMEL
Last Name:YARCIA
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E 14TH ST APT 807
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60605-3666
Mailing Address - Country:US
Mailing Address - Phone:773-710-0538
Mailing Address - Fax:
Practice Address - Street 1:100 E 14TH ST APT 807
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60605-3666
Practice Address - Country:US
Practice Address - Phone:773-710-0538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-28
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041351520163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency