| Roscoe Clinic | |
|
5605 East Rockton Rd North Pointe Roscoe IL 61073-7601 | |
| (815) 525-4500 | |
| (608) 364-2338 |
| Full Name | Roscoe Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 5605 East Rockton Rd, Roscoe, Illinois |
| Authorized Official Name and Position | William P Sullivan (ADMINISTRATOR) |
| Authorized Official Contact | 6083642200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roscoe Clinic 1905 Huebbe Parkway Beloit Clinic Sc Beloit WI 53511-1842 Ph: (608) 364-2200 | Roscoe Clinic 5605 East Rockton Rd North Pointe Roscoe IL 61073-7601 Ph: (815) 525-4500 |
| NPI Number | 1497879878 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 02/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497879878 | NPI | - | NPPES |
| 32808500 | Medicaid | WI | |
| 32270100 | Medicaid | WI | |
| 483240 | Other | ILLINOIS MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Wisconsin) | Primary |
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