Individual
JACOB G CARAOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.,D.A.B.C.O.
Contact information
Practice address
4921 E STATE ST, ROCKFORD, IL 61108-2275
(815) 398-4004
(815) 398-4005
Mailing address
4921 E STATE ST, ROCKFORD, IL 61108-2275
(815) 398-4004
(815) 398-4005
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
038-005798
IL
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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