Rockford Pain Management Ltd | |
6451 E Riverside Blvd Suite 101 Rockford IL 61114-4421 | |
(815) 639-1090 | |
(815) 639-9860 |
Full Name | Rockford Pain Management Ltd |
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Speciality | General Practice |
Location | 6451 E Riverside Blvd, Rockford, Illinois |
Authorized Official Name and Position | Todd Cevene (OWNER) |
Authorized Official Contact | 8156391090 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Rockford Pain Management Ltd 6451 E Riverside Blvd Suite 101 Rockford IL 61114-4421 Ph: (815) 639-1090 | Rockford Pain Management Ltd 6451 E Riverside Blvd Suite 101 Rockford IL 61114-4421 Ph: (815) 639-1090 |
NPI Number | 1174885107 |
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Provider Enumeration Date | 06/14/2012 |
Last Update Date | 06/14/2012 |
Identifier | Type | State | Issuer |
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1174885107 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (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 | |