is a Family in Rockford, Illinois. practices all healthcare services and medical treatments related to Family. The NPI Number for is 1699932665. The last update date is .
's current location address is 2820 Glenwood Ave, Rockford, Illinois. You can contact this provider via phone number 8159714750 and fax number 8159714120. The mailing address for is 2820 Glenwood Ave, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 2820 Glenwood Ave, Rockford, Illinois |
| Phone Number | 8159714750 |
| Fax Number | 8159714120 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1699932665 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 2820 Glenwood Ave |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 61007 |
| Phone Number | 8159714750 |
| Fax Number | 8159714120 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 209.002671 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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