Rockford Pain Management Ltd

NPI 1174885107 - General Practice - 208D00000X

NPI Details
NPI 1174885107
Enumeration Date 06/14/2012
Last Updated 06/14/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name TODD TODD
Position OWNER
Phone (815) 639-1090
Fax (815) 639-9860
Practice Location
6451 E RIVERSIDE BLVD
SUITE 101
ROCKFORD IL, 61114-4421, US
Phone (815) 639-1090
Fax (815) 639-9860
Business Location
6451 E RIVERSIDE BLVD
SUITE 101
ROCKFORD IL, 61114-4421, US
Phone (815) 639-1090
Fax (815) 639-9860
Toxanomy
Taxonomy Code 208D00000X
License State
License Number
Remove 1174885107 NPI Number
 

According to our database, Rockford Pain Management Ltd NPI is 1174885107, taxonomy code is 208D00000X Rockford Pain Management Ltd physically located at 6451 E Riverside Blvd, Rockford IL, 61114-4421. NPI Number 1033115704 has the healthcare provider type.

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1174885107 NPI number is provided on an as is basis without warranty of any kind. 1174885107 is maintained by the National Plan & Provider Enumeration System. The contents of Rockford Pain Management Ltd are for informational purposes only.