Individual
DR. JANUARIO LEE NATANAUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1215 N ALPINE RD, ROCKFORD, IL 61107-2201
(815) 391-7800
(815) 391-7794
Mailing address
PO BOX 1567, ROCKFORD, IL 61110-0067
(815) 391-7150
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036122920
IL
Other
Enumeration date
10/10/2007
Last updated
03/15/2010
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