Ear Nose & Throat Specialists Of Rockford Sc in Rockford - Preferred Provider Organization
Ear Nose & Throat Specialists Of Rockford Sc - NPI 1740491745
Ear Nose & Throat Specialists Of Rockford Sc is a Preferred Provider Organization in Rockford, Illinois. Ear Nose & Throat Specialists Of Rockford Sc practices all healthcare services and medical treatments related to Preferred Provider Organization. The NPI Number for Ear Nose & Throat Specialists Of Rockford Sc is 1740491745. The last update date is 2012-03-27.
Ear Nose & Throat Specialists Of Rockford Sc's current location address is 435 N Mulford Rd, Rockford, Illinois. You can contact this provider via phone number 8153995268 and fax number 8153993623. The mailing address for Ear Nose & Throat Specialists Of Rockford Sc is 435 N Mulford Rd, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ear Nose & Throat Specialists Of Rockford Sc |
|---|---|
| Address | 435 N Mulford Rd, Rockford, Illinois |
| Phone Number | 8153995268 |
| Fax Number | 8153993623 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DO |
|---|---|
| Authorized Official Name | Severson Melvin James |
| Credentials | MD |
| Telephone Number | 8153995268 |
NPI Number Detail
| NPI Number | 1740491745 |
|---|---|
| Provider Enumeration Date | 2007-05-24 |
| Last Updated Date | 2012-03-27 |
Provider Mailing Address Detail
| Address | 435 N Mulford Rd |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611075189 |
| Phone Number | 8153995268 |
| Fax Number | 8153993623 |
Provider's Primary Taxonomy Detail
| Speciality | Preferred Provider Organization |
|---|---|
| Taxonomy | 305R00000X |
| Licence No | 36067207 |
|
Definition: A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient rec |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36067207 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Ear Nose & Throat Specialists Of Rockford Sc by the Centers for Medicare & Medicaid Services?
The Ear Nose & Throat Specialists Of Rockford Sc has been assigned the NPI (National Provider Identifier) 1740491745 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Ear Nose & Throat Specialists Of Rockford Sc?
The Ear Nose & Throat Specialists Of Rockford Sc is physically situated at 435 N Mulford Rd, in the city of Rockford, state of IL, with the postal code 611075189.
What is Ear Nose & Throat Specialists Of Rockford Sc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ear Nose & Throat Specialists Of Rockford Sc's specialized field of practice is Preferred Provider Organization, and the corresponding taxonomy code that categorizes this area of specialization is 305R00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1740491745 to Ear Nose & Throat Specialists Of Rockford Sc?
The Centers for Medicare & Medicaid Services originally issued the 1740491745 to Ear Nose & Throat Specialists Of Rockford Sc on 2007-05-24.
When was the information pertaining to Ear Nose & Throat Specialists Of Rockford Sc most recently updated or revised?
The details related to Ear Nose & Throat Specialists Of Rockford Sc, including its address, specialty, and other relevant information, were last updated or revised on 2012-03-27.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC