Dlx Medical Group Inc | |
461 N Mulford Rd Rockford IL 61107-5190 | |
(815) 227-9594 | |
(815) 227-9574 |
Full Name | Dlx Medical Group Inc |
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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 |
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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 |
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Provider Enumeration Date | 07/24/2008 |
Last Update Date | 01/20/2021 |
Medicare PECOS PAC ID | 2961579362 |
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Medicare Enrollment ID | O20080926000585 |
Identifier | Type | State | Issuer |
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1386809820 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 036091286 (Illinois) | Primary |
Provider Name | Diana E Alanis |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922007418 PECOS PAC ID: 9830186493 Enrollment ID: I20040427000925 |
Provider Name | Melissa Lynnette Inman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013453075 PECOS PAC ID: 2668756701 Enrollment ID: I20170309000062 |
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