| Rockford Adult Medicine Associates S C | |
|
534 Roxbury Rd Rockford IL 61107-5076 | |
| (815) 381-7005 | |
| Not Available |
| Full Name | Rockford Adult Medicine Associates S C |
|---|---|
| Speciality | Internal Medicine |
| Location | 534 Roxbury Rd, Rockford, Illinois |
| Authorized Official Name and Position | Lydia Savic (PRESIDENT) |
| Authorized Official Contact | 8153617005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rockford Adult Medicine Associates S C 534 Roxbury Rd Rockford IL 61107-5076 Ph: (815) 381-7005 | Rockford Adult Medicine Associates S C 534 Roxbury Rd Rockford IL 61107-5076 Ph: (815) 381-7005 |
| NPI Number | 1043542715 |
|---|---|
| Provider Enumeration Date | 02/05/2010 |
| Last Update Date | 11/03/2010 |
| Medicare PECOS PAC ID | 5890980379 |
|---|---|
| Medicare Enrollment ID | O20101110000189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043542715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036085529 (Illinois) | Primary |
| Provider Name | Lydia Savic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669571170 PECOS PAC ID: 1456319086 Enrollment ID: I20041229000109 |
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