Provider Demographics
NPI:1720338171
Name:ORDAZ, ROSA ELIDA (INTERPRETER/TRANSLAT)
Entity Type:Individual
Prefix:MS
First Name:ROSA
Middle Name:ELIDA
Last Name:ORDAZ
Suffix:
Gender:F
Credentials:INTERPRETER/TRANSLAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1624 HOME AVE
Mailing Address - Street 2:
Mailing Address - City:BERWYN
Mailing Address - State:IL
Mailing Address - Zip Code:60402-1616
Mailing Address - Country:US
Mailing Address - Phone:708-927-8090
Mailing Address - Fax:708-788-1698
Practice Address - Street 1:1624 HOME AVE
Practice Address - Street 2:
Practice Address - City:BERWYN
Practice Address - State:IL
Practice Address - Zip Code:60402-1616
Practice Address - Country:US
Practice Address - Phone:708-927-8090
Practice Address - Fax:708-788-1698
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-13
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter