Whalio Doctors

NPI 1033591847

Jithinraj Edakkanambeth Varayil, MD

Practitioner Family Medicine Physician Rockford, IL

Practice location

Address
1200 W State St, Rockford, IL 61102
Phone
(815) 490-1600
Fax
(815) 490-1881
Mailing address
200 1st St SW, Rochester, MN 55905-0001

Registered specialties (3)

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 69874 (MN)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 125-067838 (IL)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X Licence 125-067838 (IL)

Registry record

NPI
1033591847
Entity type
Individual
Sex (as registered)
Male
NPI issued
29 Jun 2015
Record last updated
27 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.