Dr. Paul J Klazura
Surgeon Trauma Surgeon Vascular Surgeon
2300 N Rockton Ave Ste 304
Rockford
, Illinois 61103-3619
Dr. Paul J Klazura
Surgeon Trauma Surgeon Vascular Surgeon
2300 N Rockton Ave Ste 304
Rockford
, Illinois 61103-3619
(815) 964-3331
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About
Features
Specialties
- Surgeon
- Trauma Surgeon
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Paul J Klazura
- Po Box 15730
- Loves Park, IL
- Zip : 61132-5730
- Fax : (815) 964-3331
- Phone : (815) 964-3333
Second Address
- Dr. Paul J Klazura
- 2300 N Rockton Ave Ste 304
- Rockford, IL
- Zip : 61103-3619
- Fax : (815) 964-3331
- Phone : (815) 864-3333
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 036063647 | IL |
| N | 208600000X | Surgeon | 036063647 | IL |
| N | 2086S0127X | Trauma Surgeon | 036063647 | IL |
| Y | 2086S0129X | Vascular Surgeon | 036063647 | IL |
National Provider Identifier
| NPI | 1407852551 |
|---|---|
| Provider Name | Dr. Paul J Klazura |
| First Address | Loves Park, IL 61132-5730 |
| Second Address | Rockford, IL 61103-3619 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2005 |
| Last Update Date | 23/01/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036063547 2 | (05) | IL |
| 194343 | PERSONAL CARE (01) | IL |
| 204575400 | OWCP (01) | IL |
| A66467 | (02) | IL |
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.