BASIL EID JARADAH

ROCKFORD, IL
NPI1427368935
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: KY  44988)
Enumeration Date2010-10-18
Last Update Date2013-05-08
Business Address
Dr. BASIL EID JARADAH M.D.
1200 W STATE ST
ROCKFORD, IL 61102-2112
Phone number: 815-490-1600
Mailing Address
Dr. BASIL EID JARADAH M.D.
1200 W STATE ST
ROCKFORD, IL 61102-2112
Phone number: 815-490-1600