Provider Demographics
NPI:1922557370
Name:ESTRELLA, ROCHIE (APN, CCRN, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:ROCHIE
Middle Name:
Last Name:ESTRELLA
Suffix:
Gender:F
Credentials:APN, CCRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 S GREENLEAF ST
Mailing Address - Street 2:STE 212
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-5708
Mailing Address - Country:US
Mailing Address - Phone:847-360-1000
Mailing Address - Fax:847-360-1001
Practice Address - Street 1:310 S GREENLEAF ST
Practice Address - Street 2:STE 212
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-5708
Practice Address - Country:US
Practice Address - Phone:847-360-1000
Practice Address - Fax:847-360-1001
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-27
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041376464163W00000X
IL209014889363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse