Individual
PIROJNA JANTRA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2825 GLENWOOD AVE, ROCKFORD, IL 61101-3542
(815) 965-9712
Mailing address
2825 GLENWOOD AVE, ROCKFORD, IL 61101-3542
(815) 965-9712
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
36053161
IL
Other
Enumeration date
04/27/2006
Last updated
07/08/2007
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