JAISON PAUL

ROCKFORD, IL
NPI1093507162
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  125.085838)
Enumeration Date2025-05-22
Last Update Date2025-05-22
Business Address
JAISON PAUL MD
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114-2300
Phone number: 815-971-7000
Mailing Address
JAISON PAUL MD
7702 N ALPINE RD
LOVES PARK, IL 61111-3107
Phone number: 815-971-3397
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