Individual provider · Type 1 NPI

Judd Ivan Jaurda Palonpon, DO

Student in an Organized Health Care Education/Training Program · Rockford, IL

NPI number 1821848102 Active

Practice location

5970 Churchview Dr
Rockford, IL 61107-2574

Call (815) 971-8990 Map

Fax (815) 971-9978

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1821848102

Judd Ivan Jaurda Palonpon, DO's National Provider Identifier is 1821848102, issued on Mar 27, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Rockford, IL. The record was last updated on Mar 27, 2024.