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Individual

JUDE PEREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5875 E RIVERSIDE BLVD, ROCKFORD, IL 61114-4937
(158) 381-7431
Mailing address
5875 E RIVERSIDE BLVD, ROCKFORD, IL 61114-4937
(158) 381-7431

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036107605
IL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
036107605
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
36107605
IL
Enumeration date
07/03/2006
Last updated
04/25/2023
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