Baluga, Antonio R

Baluga, Antonio R is an individual health care provider with primary practice located at 6905 E State Street , Rockford IL 61108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Baluga, Antonio R can be contacted via phone (815) 397-4142.

Contact Information

Primary practice address
6905 E State Street Rockford IL 61108
Phone: (815) 397-4142
Fax: (815) 397-4144
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036054168 Illinois

Profile Details

NPI number 1740290600
LBN Legal business name Baluga, Antonio R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Dec 17th, 2008 - about 18 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 1740290600 NPPES
Illinois Other P00149184 MEDICARE RAILROAD

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