Provider Demographics
NPI:1326214131
Name:ROZA, JOHN PAUL (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PAUL
Last Name:ROZA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 E INDIAN TRL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60505-1734
Mailing Address - Country:US
Mailing Address - Phone:630-892-7246
Mailing Address - Fax:630-892-7156
Practice Address - Street 1:327 E INDIAN TRL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60505-1734
Practice Address - Country:US
Practice Address - Phone:630-892-7246
Practice Address - Fax:630-892-7156
Is Sole Proprietor?:No
Enumeration Date:2008-05-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038007099111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor