Individual
JAMES J JEFKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
2550 CHARLES ST, ROCKFORD, IL 61108-1673
(779) 696-7550
Mailing address
1401 E STATE ST, ROCKFORD, IL 61104-2315
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.009751
IL
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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