| Gorman Family Medical Clinic Llc | |
|
822 N 2nd St Rochelle IL 61068-1766 | |
| (815) 562-3784 | |
| Not Available |
| Full Name | Gorman Family Medical Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 822 N 2nd St, Rochelle, Illinois |
| Authorized Official Name and Position | Christine Gorman (MD OWNER) |
| Authorized Official Contact | 8155623784 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gorman Family Medical Clinic Llc Po Box 4691 Rockford IL 61110-4691 Ph: () - | Gorman Family Medical Clinic Llc 822 N 2nd St Rochelle IL 61068-1766 Ph: (815) 562-3784 |
| NPI Number | 1639225469 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639225469 | NPI | - | NPPES |
| 07132005 | Other | IL | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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