JORGE L VILLACORTA

ROCKFORD, IL
NPI1124064001
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036096528)
Enumeration Date2006-06-21
Last Update Date2021-02-18
Business Address
Dr. JORGE L VILLACORTA MD
2404 CHARLES ST
ROCKFORD, IL 61108-1602
Phone number: 779-696-7910
Mailing Address
Dr. JORGE L VILLACORTA MD
PO BOX 78866
MILWAUKEE, WI 53278-8866
Phone number: 779-696-7150
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