Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 036-093399 | IL |
NPI | 1144330325 |
---|---|
Provider Name | Francisco Carrion |
First Address | Rockford, IL 61103-3619 |
Second Address | Rockford, IL 61103-3619 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 27/01/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036093399 | (05) | IL |
D08760 | (02) | IL |