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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ROLANDO PEREZ, IMG, LSA

Active Sole Proprietor

MR. ROLANDO PEREZ, IMG, LSA is a Surgical Physician Assistant healthcare provider located in ROCKFORD, Illinois. NPI 1861593592 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · ROCKFORD, IL

Registration Details

NPI Number
1861593592
Provider Type
Individual
Gender
Male
NPI Issued
Sep 26, 2006 (19.858915988986 yrs)
Last Updated
Nov 14, 2012
Licenses
SA00087 (TX)
SA00087 (TX)
Sole Proprietor
Yes

Practice Information

Address
1491 STONY CREEK WAY
APT 2
ROCKFORD, IL, 611081210
Browse IL providers · Browse ZIP 61108
Phone
8324255634
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in ROCKFORD, IL

Name Credential NPI
MS. CYNTHIA ANN BEAR PA 1548266620
JIMMY L WALKER JR. PA-C 1063472751
DANIEL A BENTLEY PA 1629177647
PATRICK HOFFMANN PA-C 1447682703
CINDY GIURGIU 1598217168
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.