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Contact Information

RUJUTA GORE
4927 N GLEN PARK PLACE RD
PEORIA, IL61614-4676
 Phone: 309-308-3500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Pediatric Ophthalmology and Strabismus Specialist

207WX0110X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for RUJUTA GORE · (Female)

NPI Number 1720546559
Status Active
Credentials
Entity Individual
Enumeration date 03/11/2019
Last updated 10/01/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036.161999
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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