Mr Rolando Perez, IMG, LSA | |
1491 Stony Creek Way, Apt 2, Rockford, IL 61108-1210 | |
(832) 425-5634 | |
Not Available |
Full Name | Mr Rolando Perez |
---|---|
Gender | Male |
Speciality | Physician Assistant - Surgical |
Location | 1491 Stony Creek Way, Rockford, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861593592 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | SA00087 (Texas) | Secondary |
363AS0400X | Physician Assistant - Surgical | SA00087 (Texas) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Rolando Perez, IMG, LSA Po Box 7546, Rockford, IL 61126-7546 Ph: (832) 425-5634 | Mr Rolando Perez, IMG, LSA 1491 Stony Creek Way, Apt 2, Rockford, IL 61108-1210 Ph: (832) 425-5634 |