Jude Perez in Rockford - Emergency Medical Services
Jude Perez - NPI 1194755587
Jude Perez is a Emergency Medical Services in Rockford, Illinois. Jude Perez practices all healthcare services and medical treatments related to Emergency Medical Services. The NPI Number for Jude Perez is 1194755587. The last update date is 2023-04-25.
Jude Perez's current location address is 5875 E Riverside Blvd, Rockford, Illinois. You can contact this provider via phone number 1583817431. The mailing address for Jude Perez is 5875 E Riverside Blvd, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jude Perez |
|---|---|
| Address | 5875 E Riverside Blvd, Rockford, Illinois |
| Phone Number | 1583817431 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1194755587 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2023-04-25 |
Provider Mailing Address Detail
| Address | 5875 E Riverside Blvd |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611144937 |
| Phone Number | 1583817431 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medical Services |
|---|---|
| Taxonomy | 207Pe0004X |
| Licence No | 36107605 |
|
Definition: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36107605 | IL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Jude Perez by the Centers for Medicare & Medicaid Services?
The Jude Perez has been issued the NPI (National Provider Identifier) 1194755587. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jude Perez?
The Jude Perez is physically situated at 5875 E Riverside Blvd, in the city of Rockford, state of IL, with the postal code 611144937.
What is Jude Perez's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jude Perez is Emergency Medical Services, and the taxonomy classification code that categorizes this area of expertise is 207Pe0004X.
On what date did the Jude Perez receive the assignment of its 1194755587 from the Centers for Medicare & Medicaid Services?
The Jude Perez was issued its 1194755587 by the Centers for Medicare & Medicaid Services on 2006-07-03.
As of what date was the information regarding Jude Perez, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jude Perez, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-04-25.
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