Aguila-Corrales, Juanita Rodriguez

Aguila-Corrales, Juanita Rodriguez is an sole proprietor health care provider with primary practice located at 1 Illini Drive , Peoria IL 61605-2576. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Aguila-Corrales, Juanita Rodriguez can be contacted via phone (309) 671-8504.

Contact Information

Primary practice address
1 Illini Drive Peoria IL 61605-2576
Phone: (309) 671-8504
Fax: (309) 671-8513
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 036114194 Illinois

Profile Details

NPI number 1851597066
LBN Legal business name Aguila-Corrales, Juanita Rodriguez
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2007
Last updated Jul 20th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851597066 NPPES
Illinois Other 036-114194 STATE LICENSE

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