Individual
ERIC CUASAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 E STATE ST, ROCKFORD, IL 61104-2315
(815) 489-4760
Mailing address
1401 E STATE ST, ROCKFORD, IL 61104-2315
(815) 489-4760
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036-107125
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-107125
—
IL
Enumeration date
03/14/2006
Last updated
09/13/2018
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