Individual
CARLOS AGUERO-MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 E STATE ST, ROCKFORD, IL 61104-1012
(815) 668-7810
(815) 714-6219
Mailing address
PO BOX 746715, ATLANTA, GA 30374-6715
(773) 352-1515
(312) 929-0374
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036115945
IL
207Q00000X
Family Medicine Physician
54638-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036115945
STATE LICENSE
IL
01
—
AGUERCAR
MERCYCARE INSURANCE
WI
Enumeration date
05/18/2006
Last updated
06/05/2025
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