Provider Demographics
NPI:1649564980
Name:ALVARADO, ROSALINDA (MD)
Entity Type:Individual
Prefix:
First Name:ROSALINDA
Middle Name:
Last Name:ALVARADO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 N. HALSTED STREET
Mailing Address - Street 2:SUITE 711
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657
Mailing Address - Country:US
Mailing Address - Phone:773-296-3390
Mailing Address - Fax:773-296-7531
Practice Address - Street 1:3000 N. HALSTED STREET
Practice Address - Street 2:SUITE 711
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657
Practice Address - Country:US
Practice Address - Phone:773-296-3390
Practice Address - Fax:773-296-7531
Is Sole Proprietor?:No
Enumeration Date:2011-06-03
Last Update Date:2014-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.121024208600000X
TXN8881208600000X
MDD739032086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208600000XAllopathic & Osteopathic PhysiciansSurgery