Espinosa, Gustavo A

Espinosa, Gustavo A is an individual health care provider with primary practice located at 3849 N Perryville Road , Rockford IL 61114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Espinosa, Gustavo A can be contacted via phone (815) 397-5554.

Contact Information

Primary practice address
3849 N Perryville Road Rockford IL 61114
Phone: (815) 397-5554
Fax: (866) 914-7594
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X Illinois

Profile Details

NPI number 1114904620
LBN Legal business name Espinosa, Gustavo A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Mar 18th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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