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Individual
REX RIZALDO
Active
Individual
REX RIZALDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209.026502
IL
363LA2100X
Acute Care Nurse Practitioner
209.026502
IL
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
209026502
IL
Other
Enumeration date
12/08/2022
Last updated
07/14/2025
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