JOSE LUIS GALLARDO


Address: 2133 Oxford St, Rockford, IL 61103-4160
Phone: 8137350399

JOSE LUIS GALLARDO (NPI# 1578127007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578127007
Entity Type Individual
Full Name JOSE LUIS GALLARDO
Practice Address 2133 Oxford St
Rockford
IL 61103-4160
Practice Telephone 8137350399
Mailing Telephone 8137350399
Enumeration Date 2019-04-30
Last Update Date 2019-04-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 2133 OXFORD ST
City ROCKFORD
State IL
Zip Code 61103-4160

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598398497 The Elitist Group Home Health Aide 2929 N Main Street, Rockford, IL 61103 2020-02-19
1972064194 Mahita Bellamkonda Student in an Organized Health Care Education/Training Program 2400 North Rockton Avenue, Rockford, IL 61103 2019-03-29
1558538967 Willows Health Center Clinic/Center 4143 Albright Lane, Rockford, IL 61103 2008-05-14
1497845135 Humaira Bari Internal Medicine 2400 N. Rockton Avenue, Rockford, IL 61103 2006-10-13
1841385242 Rachel Pawlowski Occupational Therapist 3616 N. Main Street, Rockford, IL 61103 2006-10-03
1417068438 Alicia Anne Huntley Midwife 2400 Rockton Ave, Rockford, IL 61103 2006-08-31
1639190200 Glendon Burress Pediatrics 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 2006-07-21
1225065204 Daniel William Johnson Dentist 519 Toner Av, Rockford, IL 61103 2006-06-27
1760472898 Ronald Peter Oberfoell Anesthesiology 2400 North Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 2005-10-28
1841752532 Dipti Sabharwal Student in an Organized Health Care Education/Training Program 2400 N Rockton Avenue, Rockford, IL 61103 2019-04-02
Find all providers in zip 61103

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871118174 Dalton Menke Student in an Organized Health Care Education/Training Program 707 Woodsong Ct, Rockford, IL 61102-5625 2020-06-11
1881216729 Dylan Jackson Dick Student in an Organized Health Care Education/Training Program 226 Glenview Ct Ne, Rockford, MI 49341-1198 2020-05-14
1366064560 Caleb Ifeoluwa Oluwadamisi Student in an Organized Health Care Education/Training Program Mercy Health Javon Bea Hospital, 8201 East Riverside Boulevard, Rockford, IL 61114 2020-05-11
1457980138 Alexandria Conner Student in an Organized Health Care Education/Training Program 9501 Sunset Ridge Dr Ne, Rockford, MI 49341-7116 2020-04-05
1679109789 Alyssa Tunison Student in an Organized Health Care Education/Training Program 1722 Huffman Blvd, Rockford, IL 61103-4531 2020-03-20
1497380224 Michael Magnuson Student in an Organized Health Care Education/Training Program 5268 Deer Pointe, Rockford, IL 61114-7068 2020-03-12
1467092379 Unknown Safa Fatima Student in an Organized Health Care Education/Training Program Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 2020-01-08
1154980076 Anurag Gill Student in an Organized Health Care Education/Training Program 8201 East Riverside Boulevard, Mercy Health Javon Bea Hospital, Rockford, IL 61114 2019-06-13
1578121943 Sona Najafi Student in an Organized Health Care Education/Training Program Mercyhealth Javon Bea Hospital, 8201 East Riverside Blvd, Rockford, IL 61114 2019-05-31
1972064194 Mahita Bellamkonda Student in an Organized Health Care Education/Training Program 2400 North Rockton Avenue, Rockford, IL 61103 2019-03-29
Find all providers in ROCKFORD

Competitor

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City ROCKFORD
Zip Code 61103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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