Jorge L Villacorta in Rockford - Family Medicine
Jorge L Villacorta - NPI 1124064001
Jorge L Villacorta is a Family Medicine in Rockford, Illinois. Jorge L Villacorta practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jorge L Villacorta is 1124064001. The last update date is 2021-02-18.
Jorge L Villacorta's current location address is 2404 Charles St, Rockford, Illinois. You can contact this provider via phone number 7796967910. The mailing address for Jorge L Villacorta is 2404 Charles St, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jorge L Villacorta |
|---|---|
| Address | 2404 Charles St, Rockford, Illinois |
| Phone Number | 7796967910 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1124064001 |
|---|---|
| Provider Enumeration Date | 2006-06-21 |
| Last Updated Date | 2021-02-18 |
Provider Mailing Address Detail
| Address | 2404 Charles St |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611081602 |
| Phone Number | 7796967910 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36096528 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36096528 | IL | -- |
Post Comment/ Review Below
What is the Jorge L Villacorta's 1124064001?
The Jorge L Villacorta's NPI (National Provider Identifier) Number is 1124064001. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jorge L Villacorta is located?
The Jorge L Villacorta is situated at the following address: 2404 Charles St, Rockford, IL, 611081602.
What is the Jorge L Villacorta's specialty and taxonomy code?
The Jorge L Villacorta's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date was the 1124064001 assigned to Jorge L Villacorta?
The Jorge L Villacorta was issued its 1124064001 on 2006-06-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Jorge L Villacorta most recently updated or revised?
The information pertaining to Jorge L Villacorta, including its address, specialty, and other relevant details, was last updated or revised on 2021-02-18.
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