Pirojna Jantra
Physical Medicine & Rehabilitation Doctor
2825 Glenwood Ave
Rockford
, Illinois 61101-3542
Pirojna Jantra
Physical Medicine & Rehabilitation Doctor
2825 Glenwood Ave
Rockford
, Illinois 61101-3542
(815) 965-9712
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Pirojna Jantra
- 2825 Glenwood Ave
- Rockford, IL
- Zip : 61101-3542
- Phone : (815) 965-9712
Second Address
- Pirojna Jantra
- 2825 Glenwood Ave
- Rockford, IL
- Zip : 61101-3542
- Phone : (815) 965-9712
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 36053161 | IL |
National Provider Identifier
| NPI | 1043277841 |
|---|---|
| Provider Name | Pirojna Jantra |
| First Address | Rockford, IL 61101-3542 |
| Second Address | Rockford, IL 61101-3542 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/04/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E14044 | (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.