Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maria Roman

Individual provider Physical Therapist · NPI 1700412921

Maria Roman is a Physical Therapist in Private Practice in Lake Villa, Illinois. Qualified in 2019, 7 years ago. Practices with Advocate Health and Hospitals Corporation, a 3,079-clinician group and accepts Medicare assignment. Licensed in Illinois, North Carolina, South Carolina and Wisconsin.

Years since qualifying
7
Licensed in
IL, NC, SC, WI
In the registry since
2020
Specialties on file
4
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Practice location Address checks out

695 Park Ave
Lake Villa, IL 60046-6531
Phone: (630) 368-1776
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070.025203 (IL)
Physical Therapist Taxonomy 225100000X · Licence P19425 (NC)
Physical Therapist Taxonomy 225100000X · Licence 14824-24 (WI)
Physical Therapist Taxonomy 225100000X · Licence 9864 (SC)

Record details

NPI number1700412921
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 19, 2020
Last updated in NPPESJanuary 6, 2025
Certification dateJanuary 6, 2025
Mailing address29373 Network Pl, Chicago, IL 60673-1293

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Advocate Health And Hospitals Corporation — 3079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lake Villa