<unavail> in Rockford, IL

is a primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Rockford, Illinois. The current practice location for is 345 Executive Pkwy Ste L1, Rockford, Illinois. For appointments, you can reach them via phone at (877) 692-8686. The mailing address for is 19990 Governors Hwy, Olympia Fields, Illinois and phone number is (708) 747-7100.

is licensed to practice in * (Not Available) (license number ) and its NPI number is 1043746720. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (877) 692-8686.

Contact Information


	345 Executive Pkwy Ste L1 Rockford IL 61107-5291
	(877) 692-8686
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/center - Federally Qualified Health Center (fqhc)
Location	345 Executive Pkwy Ste L1, Rockford, Illinois
Authorized Official Name and Position	Audrey Pennington (COO)
Authorized Official Contact	7738027645
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
19990 Governors Hwy Olympia Fields IL 60461-1021 Ph: (708) 747-7100	345 Executive Pkwy Ste L1 Rockford IL 61107-5291 Ph: (877) 692-8686

NPI Details:

NPI Number	1043746720
Provider Enumeration Date	05/02/2017
Last Update Date	09/29/2023

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043746720	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Rockford, IL

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Gautam Gupta Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6090 Strathmoor Dr, Suite #4, Rockford, IL 61107 Phone: 815-229-1899 Fax: 815-231-1218
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2473 Mcfarland Rd, Rockford, IL 61107 Phone: 779-696-7190
Rockford School District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 N Gardiner Ave, Rockford, IL 61107 Phone: 815-398-3976
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2300 N Rockton Ave, Rockford, IL 61103 Phone: 815-971-2000
Rockford Adult Medicine Associates S C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 534 Roxbury Rd, Rockford, IL 61107 Phone: 815-381-7005

- Primary Care in Rockford, IL