| Rochelle Family Health Care Inc. | |
|
822 N 2nd St Rochelle IL 61068-1766 | |
| (815) 562-3784 | |
| Not Available |
| Full Name | Rochelle Family Health Care Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 822 N 2nd St, Rochelle, Illinois |
| Authorized Official Name and Position | Pitamber Persaud (MD OWNER) |
| Authorized Official Contact | 8155623784 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rochelle Family Health Care Inc. Po Box 4474 Rockford IL 61110-0974 Ph: () - | Rochelle Family Health Care Inc. 822 N 2nd St Rochelle IL 61068-1766 Ph: (815) 562-3784 |
| NPI Number | 1114073731 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 03/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114073731 | NPI | - | NPPES |
| 0007132022 | Other | IL | BLUE SHIELD |
| 036103193 | Other | IL | IDPA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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