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1619951019
EDWIN OKESON
ROCKFORD, IL
NPI
1619951019
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036067805)
Enumeration Date
2005-11-30
Last Update Date
2010-05-05
Business Address
Dr. EDWIN OKESON MD
1200 W STATE ST
ROCKFORD, IL 61102-2112
Phone number: 815-490-1600
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Mailing Address
Dr. EDWIN OKESON MD
1816 HAWTHORNE DR
ROCKFORD, IL 61107-1340
Phone number: 815-395-0383
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