Psychiatric Associates Of Rockford Sc

NPI 1013077619 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1013077619
Enumeration Date 12/12/2006
Last Updated 12/06/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name PETER PETER
Position CREDENTIALING MANAGER
Phone (815) 398-9360
Fax (815) 398-1028
Practice Location
6078 PALO VERDE DR
ROCKFORD IL, 61114-8117, US
Phone (815) 398-9360
Fax (815) 398-1028
Business Location
6078 PALO VERDE DR
ROCKFORD IL, 61114-8117, US
Phone (815) 398-9360
Fax (815) 398-1028
Toxanomy
Taxonomy Code 2084P0800X
License State
License Number
Remove 1013077619 NPI Number
 

According to our database, Psychiatric Associates Of Rockford Sc NPI is 1013077619, taxonomy code is 2084P0800X Psychiatric Associates Of Rockford Sc physically located at 6078 Palo Verde Dr, Rockford IL, 61114-8117. NPI Number 1033115704 has the healthcare provider type.

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1013077619 NPI number is provided on an as is basis without warranty of any kind. 1013077619 is maintained by the National Plan & Provider Enumeration System. The contents of Psychiatric Associates Of Rockford Sc are for informational purposes only.