Gordillo Perez, Roberto

Gordillo Perez, Roberto is an individual health care provider with primary practice located at 530 Ne Glen Oak Ave Department Of Pediatrics, Peoria IL 61637-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Nephrology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Nephrology is his primary health care specialty. Gordillo Perez, Roberto can be contacted via phone (309) 624-3313.

Contact Information

Primary practice address
530 Ne Glen Oak Ave Department Of Pediatrics Peoria IL 61637-0001
Phone: (309) 624-3313
Fax: (309) 655-2565
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X 036.126924 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036.126924 Illinois

Profile Details

NPI number 1407084759
LBN Legal business name Gordillo Perez, Roberto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2009
Last updated Apr 12th, 2011 - about 14 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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