Individual provider · Type 1 NPI

Rolando Perez, IMG, LSA

Surgical Physician Assistant · Rockford, IL

NPI number 1861593592 Active

Practice location

1491 Stony Creek Way, Apt 2
Rockford, IL 61108-1210

Call (832) 425-5634 Map

Mailing address

PO Box 7546
Rockford, IL 61126-7546

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician 207T00000XSA00087 (TX)
Surgical Physician Assistant Primary 363AS0400XSA00087 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1861593592

Rolando Perez, IMG, LSA's National Provider Identifier is 1861593592, issued on Sep 26, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Rockford, IL. The record was last updated on Nov 14, 2012.