Individual
DR. JOSE ALBERTO B SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3505 N. BELL SCHOOL RD., ROCKFORD, IL 61114
(779) 696-0300
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
(779) 696-7150
(779) 696-7342
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036089020
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036089020
—
IL
Enumeration date
06/28/2005
Last updated
02/19/2021
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