Individual
DACIA AURELIA PICKERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5668 E STATE ST, #2, ROCKFORD, IL 61108-2490
(815) 397-7900
(815) 397-4839
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
(779) 696-7150
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036131817
IL
Other
Enumeration date
04/14/2008
Last updated
07/24/2019
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