Individual
DR. FRANCISCO J MIYARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 E. STATE ST., ROCKFORD, IL 61104
(815) 668-7810
(815) 714-6219
Mailing address
213 N RACINE AVE, STE 100, CHICAGO, IL 60607-1644
(312) 733-9730
(773) 866-8014
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036085264
IL
207R00000X
Internal Medicine Physician
Primary
39514
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036085264
—
IL
01
—
F400218933
MEDICARE PTAN
IL
01
—
P00196872
RR METRAHEALTH SOUTH IL
IL
01
—
P00242646
METRAHEALTH RR NORTH IL
IL
Enumeration date
05/10/2006
Last updated
02/19/2019
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