Organization
REJUVENATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES S MCADOO DO (PRESIDENT)
(815) 397-3373
Entity
Organization
Contact information
Practice address
3065 N PERRYVILLE RD, STE 141, ROCKFORD, IL 61114-8053
(815) 397-3373
Mailing address
6785 WEAVER RD, STE D, ROCKFORD, IL 61114-8055
(815) 633-8586
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
036111771
IL
Other
Enumeration date
01/24/2014
Last updated
01/24/2014
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