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Contact Information

RICHARD L JACONETTE, MD
526 W STATE STREET
ROCKFORD, IL61101
 Phone: 815-968-9300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for RICHARD L JACONETTE · (Male)

NPI # 1578785432
Status Active
Credentials MD
Entity Individual
Enumeration date 05/02/2007
Last updated 04/11/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036-102168
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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