Suhaib Kazmouz MD

NPI 1053559559 - Pediatrics - 208000000X

NPI Details
NPI 1053559559
Gender Male
Enumeration Date 01/22/2009
Last Updated 08/06/2014
Entity Type Individual
Active Over 7 years ago
Practice Location
2300 N ROCKTON AVE
MAIN CLINIC-BLDING 1
ROCKFORD IL, 61103-3619, US
Phone (815) 971-2000
Fax (815) 971-6326
Business Location
2400 N ROCKTON AVE
ATT. CREDENTIALING OFFICE-MED STAFF DEPT
ROCKFORD IL, 61103-3655, US
Phone (815) 971-2000
Fax (815) 971-6326
Toxanomy
Taxonomy Code 208000000X
License State Illinois
License Number 036128233
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According to our database, Dr. Suhaib Kazmouz MD NPI is 1053559559, taxonomy code is 208000000X and license number is 036128233, license state is located at Illinois. Suhaib Kazmouz MD physically located at 2300 N Rockton Ave, Rockford IL, 61103-3619. NPI Number Suhaib Kazmouz MD has the Individual type.

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1053559559 NPI number is provided on an as is basis without warranty of any kind. 1053559559 is maintained by the National Plan & Provider Enumeration System. The contents of Suhaib Kazmouz MD are for informational purposes only.