Individual
ROBERTO GORDILLO PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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