| M.h.r.c. Inc. | |
|
5668 East State Street #2500 Rockford IL 61108-3108 | |
| (815) 633-5985 | |
| (815) 633-5927 |
| Full Name | M.h.r.c. Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 5668 East State Street, Rockford, Illinois |
| Authorized Official Name and Position | Martin J Fields (PSYCHIATRIST) |
| Authorized Official Contact | 8156335985 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M.h.r.c. Inc. Po. Box 15395 Loves Park IL 61132-5395 Ph: (815) 633-5985 | M.h.r.c. Inc. 5668 East State Street #2500 Rockford IL 61108-3108 Ph: (815) 633-5985 |
| NPI Number | 1235243510 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 03/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235243510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071006307 (Illinois) | Secondary |
| 103TC0700X | Psychologist - Clinical | 036044184 (Illinois) | Primary |
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