Individual
DR. RUJUTA GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4927 N GLEN PARK PLACE RD, PEORIA, IL 61614-4676
(309) 308-3500
Mailing address
4927 N GLEN PARK PLACE RD, PEORIA, IL 61614-4676
(309) 308-3500
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036.161999
IL
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
036.161999
IL
Other
Enumeration date
03/11/2019
Last updated
10/01/2022
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