| Actin Care Groups | |
|
973 Featherstone Rd Suite 340 Rockford IL 61107-5912 | |
| (202) 422-4824 | |
| Not Available |
| Full Name | Actin Care Groups |
|---|---|
| Speciality | Family Medicine |
| Location | 973 Featherstone Rd, Rockford, Illinois |
| Authorized Official Name and Position | Guy Lynn Clifton (CEO) |
| Authorized Official Contact | 2024224824 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Actin Care Groups 2825 Mcgill Ter Nw Washington DC 20008-2749 Ph: (202) 422-4824 | Actin Care Groups 973 Featherstone Rd Suite 340 Rockford IL 61107-5912 Ph: (202) 422-4824 |
| NPI Number | 1396291324 |
|---|---|
| Provider Enumeration Date | 08/30/2016 |
| Last Update Date | 08/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396291324 | NPI | - | NPPES |
| MD037774 | Other | DC | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD037774 (District Of Columbia) | Primary |
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