| Rockford Health System | |
|
2400 N Rockton Ave Rockford IL 61103-3655 | |
| (815) 971-5611 | |
| (815) 971-9860 |
| Full Name | Rockford Health System |
|---|---|
| Speciality | Registered Nurse |
| Location | 2400 N Rockton Ave, Rockford, Illinois |
| Authorized Official Name and Position | Gary Kaatz (PRESIDENT AND C.E.O.) |
| Authorized Official Contact | 8159717250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rockford Health System 2400 N Rockton Ave Rockford IL 61103-3655 Ph: (815) 971-5611 | Rockford Health System 2400 N Rockton Ave Rockford IL 61103-3655 Ph: (815) 971-5611 |
| NPI Number | 1447387006 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447387006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Illinois) | Primary |
| 163W00000X | Registered Nurse | (Illinois) | Primary |
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