Provider Demographics
NPI:1740470301
Name:ROMANIV, NATALYA (MD)
Entity type:Individual
Prefix:DR
First Name:NATALYA
Middle Name:
Last Name:ROMANIV
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 1:2929 MCFARLAND RD
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61107-6809
Mailing Address - Country:US
Mailing Address - Phone:815-654-2020
Mailing Address - Fax:
Practice Address - Street 1:2929 MCFARLAND RD
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61107-6809
Practice Address - Country:US
Practice Address - Phone:815-654-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA201864207W00000X
IL036125187207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology