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Individual

ERNEST VESTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
695 N KELLOGG ST, GALESBURG, IL 61401-2807
(309) 343-8131
(309) 343-2393
Mailing address
3511 LIZUM CT, ROCKFORD, IL 61114-7318
(815) 877-5287
(815) 877-5969

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
IL

Other

Enumeration date
03/14/2006
Last updated
07/08/2007
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