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Paul Phares

NPI 1720532492 · on the registry since 2016

Practice

Address
2246 38th St
Rock Island, IL 61201
Phone
(309) 779-3060
Fax
(309) 779-2819

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-08-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois