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ROBERTO GORDILLO PEREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
530 NE GLEN OAK AVE, DEPARTMENT OF PEDIATRICS, PEORIA, IL 61637-0001
(309) 624-3313
(309) 655-2565
Mailing address
530 NE GLEN OAK AVE, DEPARTMENT OF PEDIATRICS, PEORIA, IL 61637-0001
(309) 624-3313
(309) 655-2565

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036.126924
IL
2080P0210X
Pediatric Nephrology Physician
Primary
036.126924
IL

Other

Enumeration date
06/25/2009
Last updated
04/12/2011
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