Northern Illinois Medical Group S. C. in Rockford - Family Medicine

Northern Illinois Medical Group S. C. - NPI 1861670101

Northern Illinois Medical Group S. C. is a Family Medicine in Rockford, Illinois. Northern Illinois Medical Group S. C. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Northern Illinois Medical Group S. C. is 1861670101. The last update date is 2013-10-28.

Northern Illinois Medical Group S. C.'s current location address is 5301 E State St Ste 101, Rockford, Illinois. You can contact this provider via phone number 8153978500 and fax number 8153978588. The mailing address for Northern Illinois Medical Group S. C. is 5301 E State St Ste 101, Rockford, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Northern Illinois Medical Group S. C.
Address 5301 E State St Ste 101, Rockford, Illinois
Phone Number 8153978500
Fax Number 8153978588
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Kong Andrew
Credentials D.C.
Telephone Number 8153978500

NPI Number Detail

NPI Number 1861670101
Provider Enumeration Date 2008-02-08
Last Updated Date 2013-10-28

Provider Mailing Address Detail

Address 5301 E State St Ste 101
City Rockford
State Illinois (IL)
Post Code 611082388
Phone Number 8153978500
Fax Number 8153978588

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

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FAQs about Northern Illinois Medical Group S. C.

What is the unique 10-digit identifier code assigned to Northern Illinois Medical Group S. C. by the Centers for Medicare & Medicaid Services?

The Northern Illinois Medical Group S. C. has been issued the NPI (National Provider Identifier) 1861670101 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Northern Illinois Medical Group S. C.'s facilities are geographically located?

The facilities of Northern Illinois Medical Group S. C. are physically situated at the following location: 5301 E State St Ste 101, Rockford, IL, 611082388.

What is the area of specialization for Northern Illinois Medical Group S. C., and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Northern Illinois Medical Group S. C. is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1861670101 to Northern Illinois Medical Group S. C.?

The Centers for Medicare & Medicaid Services originally issued the 1861670101 to Northern Illinois Medical Group S. C. on 2008-02-08.

When was the information related to Northern Illinois Medical Group S. C. most recently updated or refreshed?

The details pertaining to the Northern Illinois Medical Group S. C., including its address, specialty, and other relevant information, were last updated or refreshed on 2013-10-28.

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