Jazaerly, Tarek

Jazaerly, Tarek is an sole proprietor health care provider with primary practice located at 1401 E State St , Rockford IL 61104-2315. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Jazaerly, Tarek can be contacted via phone (779) 696-4273.

Contact Information

Primary practice address
1401 E State St Rockford IL 61104-2315
Phone: (779) 696-4273
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 4301091867 Michigan
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 036.145525 Illinois

Profile Details

NPI number 1568780625
LBN Legal business name Jazaerly, Tarek
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2010
Last updated Aug 1st, 2019 - about 7 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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