Provider Demographics
NPI:1710703228
Name:VARGAS, ROCIO (CPNP-PC)
Entity type:Individual
Prefix:
First Name:ROCIO
Middle Name:
Last Name:VARGAS
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 FARTHING LN
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-2708
Mailing Address - Country:US
Mailing Address - Phone:224-636-0974
Mailing Address - Fax:
Practice Address - Street 1:2403 HARNISH DR STE 101
Practice Address - Street 2:
Practice Address - City:ALGONQUIN
Practice Address - State:IL
Practice Address - Zip Code:60102-6803
Practice Address - Country:US
Practice Address - Phone:224-333-0730
Practice Address - Fax:224-333-0748
Is Sole Proprietor?:No
Enumeration Date:2024-11-29
Last Update Date:2024-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.029971363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics