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Bernardita R Enriquez, MD
Pediatric Emergency Medicine (Pediatrics) Physician in Rock Island, Illinois
NPI 1952395972

Bernardita R Enriquez is a Pediatric Emergency Medicine (Pediatrics) Physician based in Davenport, IL and is specialized in Pediatric Emergency Medicine. Bernardita R Enriquez practices in Rock Island, IL and has the professional credentials of MD. The NPI Number for Bernardita R Enriquez is 1952395972 and holds a License No. 036-066809 (Illinois).

The current practice location address for Bernardita R Enriquez is 2750 11Th St, Rock Island, IL and can be reached out via phone at 563-327-2100 and via fax at 563-327-2102.

Location: 2750 11Th St, Rock Island, IL, 52801-1014
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952395972
Provider Name
Bernardita R Enriquez
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2750 11Th St, Rock Island, IL, 52801-1014
Phone Number
563-327-2100
Fax Number
563-327-2102
Provider Enumeration Date
09/06/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
421060724 01 IA BILLING TAX ID# FOR CHC
0568980 05 IA
421606724A5 01 IL JOHN DEERE HEALTH
0568998 05 IA
421060724005 05 IL
036066809 05 IL
8122859 01 IL ILLINOIS BC/BS
93612 01 IA IOWA BC/BS SEEN IN RI
093469 01 HEALTH ALLIANCE #
336031012 01 IL CONTROLLED SUBSTANCE #
IL01A5 01 IL JOHN DEERE EDI#
institution
Provider Business Practice Location Address Details
Address
2750 11Th St
City
Rock Island
State
Illinois
Zip
61201-5216
Phone Number
563-327-2100
Fax Number
563-327-2102
person
Provider Business Mailing Address Details
Address
2750 11Th St
City
Rock Island
State
Illinois
Zip
61201-5216
Phone Number
563-327-2100
Fax Number
563-327-2102
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
34871 (Iowa)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Emergency Medicine
Taxonomy
2080P0204X
License No.
036-066809 (Illinois)
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
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