Individual
DR. LESTER C JURGENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 N ROCKTON AVE, ROCKFORD, IL 61103-3655
(815) 971-5000
(815) 968-9677
Mailing address
2400 N ROCKTON AVE, ROCKFORD, IL 61103-3655
(815) 971-5000
(815) 968-9677
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036058730
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036058730
—
IL
Enumeration date
07/01/2006
Last updated
10/23/2014
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