| Dlx Medical Group Inc | |
|
461 N Mulford Rd Rockford IL 61107-5190 | |
| (815) 227-9594 | |
| (815) 227-9574 |
| Full Name | Dlx Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 461 N Mulford Rd, Rockford, Illinois |
| Authorized Official Name and Position | Diana Alanis (PRESIDENT) |
| Authorized Official Contact | 8152279594 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dlx Medical Group Inc 461 N Mulford Rd Rockford IL 61107-5190 Ph: (815) 227-9594 | Dlx Medical Group Inc 461 N Mulford Rd Rockford IL 61107-5190 Ph: (815) 227-9594 |
| NPI Number | 1386809820 |
|---|---|
| Provider Enumeration Date | 07/24/2008 |
| Last Update Date | 01/20/2021 |
| Medicare PECOS PAC ID | 2961579362 |
|---|---|
| Medicare Enrollment ID | O20080926000585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386809820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036091286 (Illinois) | Primary |
| Provider Name | Diana E Alanis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922007418 PECOS PAC ID: 9830186493 Enrollment ID: I20040427000925 |
| Provider Name | Melissa Inman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013453075 PECOS PAC ID: 2668756701 Enrollment ID: I20170309000062 |
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 | |
Rockford School District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 N Gardiner Ave, Rockford, IL 61107 Phone: 815-398-3976 | |
Rockford Adult Medicine Associates S C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 534 Roxbury Rd, Rockford, IL 61107 Phone: 815-381-7005 | |