Innovamed Internal Medicine Specialists Sc | |
2601 N Main St Rockford IL 61103-3110 | |
(815) 987-1802 | |
(815) 987-1806 |
Full Name | Innovamed Internal Medicine Specialists Sc |
---|---|
Speciality | Internal Medicine |
Location | 2601 N Main St, Rockford, Illinois |
Authorized Official Name and Position | Tracy C Brito (PRESIDENT) |
Authorized Official Contact | 8159871802 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Innovamed Internal Medicine Specialists Sc 2601 N Main St Rockford IL 61103-3110 Ph: (815) 987-1802 | Innovamed Internal Medicine Specialists Sc 2601 N Main St Rockford IL 61103-3110 Ph: (815) 987-1802 |
NPI Number | 1699700229 |
---|---|
Provider Enumeration Date | 07/12/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699700229 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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 | |