Medchoice Medical Center Ltd

NPI 1093716318 - Physical Therapist - 225100000X

NPI Details
NPI 1093716318
Enumeration Date 08/09/2005
Last Updated 06/30/2010
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name ANTONIO R. ANTONIO
Position MEDICAL DIRECTOR
Phone (815) 397-4142
Fax (815) 397-4144
Practice Location
6905 E STATE ST
ROCKFORD IL, 61108-2692, US
Phone (815) 397-4142
Fax (815) 397-4144
Business Location
PO BOX 6107
ROCKFORD IL, 61125-1107, US
Phone (815) 397-4142
Fax (815) 307-4144
Toxanomy
Taxonomy Code 225100000X
License State Illinois
License Number 042-007683
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According to our database, Medchoice Medical Center Ltd NPI is 1093716318, taxonomy code is 225100000X and license number is 042-007683, license state is located at Illinois. Medchoice Medical Center Ltd physically located at 6905 E State St, Rockford IL, 61108-2692. NPI Number 1033115704 has the healthcare provider type.

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1093716318 NPI number is provided on an as is basis without warranty of any kind. 1093716318 is maintained by the National Plan & Provider Enumeration System. The contents of Medchoice Medical Center Ltd are for informational purposes only.