SearchIllinois363AS0400X

Rolando Perez, IMG, LSA

NPI 1861593592 · on the registry since 2006 · sole proprietor

Practice

Address
1491 Stony Creek Way
Apt 2
Rockford, IL 61108
Phone
(832) 425-5634
Organisation at this address
Neurex Pllc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
363AS0400X
363AS0400X
Also registered as
207T00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-11-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois