Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jaison Paul, MD

Individual provider Family Medicine Physician · NPI 1093507162

Jaison Paul, MD is a Family Medicine Physician in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone: (815) 971-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 125.085838 (IL)

Record details

NPI number1093507162
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 22, 2025
Last updated in NPPESMay 22, 2025
Certification dateMay 22, 2025
Mailing address7702 N Alpine Rd, Loves Park, IL 61111-3107

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