Dr. Lester C Jurgens
Obstetrician & Gynecologist
2400 N Rockton Ave
Rockford
, Illinois 61103-3655
Dr. Lester C Jurgens
Obstetrician & Gynecologist
2400 N Rockton Ave
Rockford
, Illinois 61103-3655
(815) 968-9677
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About
Features
Specialties
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- Dr. Lester C Jurgens
- 2400 N Rockton Ave
- Rockford, IL
- Zip : 61103-3655
- Fax : (815) 968-9677
- Phone : (815) 971-5000
Second Address
- Dr. Lester C Jurgens
- 2400 N Rockton Ave
- Rockford, IL
- Zip : 61103-3655
- Fax : (815) 968-9677
- Phone : (815) 971-5000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | 036058730 | IL |
National Provider Identifier
| NPI | 1023047156 |
|---|---|
| Provider Name | Dr. Lester C Jurgens |
| First Address | Rockford, IL 61103-3655 |
| Second Address | Rockford, IL 61103-3655 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/07/2006 |
| Last Update Date | 23/10/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036058730 | (05) | IL |
| C45439 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.