Individual
EUGENE KOFI VORTIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 N ROCKTON AVE, ROCKFORD, IL 61103-3619
(815) 971-2000
(815) 971-9929
Mailing address
2300 N ROCKTON AVE, ROCKFORD, IL 61103-3619
(815) 971-2000
(815) 971-9929
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036131843
IL
2080P0206X
Pediatric Gastroenterology Physician
Primary
036131843
IL
2080P0206X
Pediatric Gastroenterology Physician
64430-20
WI
Other
Enumeration date
05/03/2007
Last updated
08/06/2015
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