Pereira Rodrigues, Otavio

Pereira Rodrigues, Otavio is an individual health care provider with primary practice located at 1340 Charles St Ste 404 , Rockford IL 61104-2200. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Pereira Rodrigues, Otavio can be contacted via phone (779) 696-1890.

Contact Information

Primary practice address
1340 Charles St Ste 404 Rockford IL 61104-2200
Phone: (779) 696-1890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301103030 Michigan
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 036-153986 Illinois

Profile Details

NPI number 1790125367
LBN Legal business name Pereira Rodrigues, Otavio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2013
Last updated Mar 1st, 2021 - about 3 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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