Integrative Medical Associates Of Rockford, Llc

NPI 1164845459 - Family Medicine - 207Q00000X

NPI Details
NPI 1164845459
Enumeration Date 01/23/2014
Last Updated 01/23/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name STEPHEN T STEPHEN
Position CEO
Phone (815) 289-4697
Fax
Practice Location
1639 N ALPINE RD
SUITE 502
ROCKFORD IL, 61107-1449, US
Phone (815) 289-4697
Fax
Business Location
4007 CUSHMAN CLOSE
ROCKFORD IL, 61114-6106, US
Phone (815) 289-4697
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Integrative Medical Associates Of Rockford, Llc NPI is 1164845459, taxonomy code is 207Q00000X Integrative Medical Associates Of Rockford, Llc physically located at 1639 N Alpine Rd, Rockford IL, 61107-1449. NPI Number 1033115704 has the healthcare provider type.

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1164845459 NPI number is provided on an as is basis without warranty of any kind. 1164845459 is maintained by the National Plan & Provider Enumeration System. The contents of Integrative Medical Associates Of Rockford, Llc are for informational purposes only.