Individual
JOHN CARLTON MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1340 CHARLES ST STE 300, ROCKFORD, IL 61104-2200
(779) 696-8800
Mailing address
PO BOX 1567, ROCKFORD, IL 61110-0067
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036095491
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036095491
—
IL
05
—
32318300
—
WI
Enumeration date
07/03/2006
Last updated
11/11/2013
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