| Hopkins Family Med & Urgent Care, Pllc | |
|
4857 Manhattan Dr Rockford IL 61108-2265 | |
| (815) 708-0116 | |
| (815) 708-0174 |
| Full Name | Hopkins Family Med & Urgent Care, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 4857 Manhattan Dr, Rockford, Illinois |
| Authorized Official Name and Position | Fikisha Latoya Warden (PHYSICIAN/MANAGER) |
| Authorized Official Contact | 8157080116 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hopkins Family Med & Urgent Care, Pllc 4857 Manhattan Dr Rockford IL 61108-2265 Ph: (815) 708-0116 | Hopkins Family Med & Urgent Care, Pllc 4857 Manhattan Dr Rockford IL 61108-2265 Ph: (815) 708-0116 |
| NPI Number | 1568025872 |
|---|---|
| Provider Enumeration Date | 04/22/2019 |
| Last Update Date | 06/29/2020 |
| Medicare PECOS PAC ID | 5092042994 |
|---|---|
| Medicare Enrollment ID | O20190815002046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568025872 | NPI | - | NPPES |
| 248.002545 | Other | IL | IDFPR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Fikisha Latoya Warden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679701395 PECOS PAC ID: 9739338351 Enrollment ID: I20171220002273 |
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