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1164524948
JAN A ELLIOTT
ROCKFORD, IL
NPI
1164524948
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: IL 036044148)
Enumeration Date
2006-09-02
Last Update Date
2007-07-09
Business Address
-- JAN A ELLIOTT MD
1215 N ALPINE RD
ROCKFORD, IL 61107-2201
Phone number: 815-391-7700
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Mailing Address
-- JAN A ELLIOTT MD
PO BOX 1567
ROCKFORD, IL 61110-0067
Phone number:
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