<unavail> in Rockford, IL

is a primary clinic (Clinic/center - Multi-specialty) in Rockford, Illinois. The current practice location for is 1340 Charles St Ste 404, Rockford, Illinois. For appointments, you can reach them via phone at (779) 696-1890. The mailing address for is Po Box 78866, Milwaukee, Wisconsin and phone number is (779) 696-7150.

is licensed to practice in * (Not Available) (license number ) and its NPI number is 1255846911. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (779) 696-1890.

Contact Information


	1340 Charles St Ste 404 Rockford IL 61104
	(779) 696-1890
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/center - Multi-specialty
Location	1340 Charles St Ste 404, Rockford, Illinois
Authorized Official Name and Position	Don Daniels (VP)
Authorized Official Contact	8159662084
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 78866 Milwaukee WI 53278-8866 Ph: (779) 696-7150	1340 Charles St Ste 404 Rockford IL 61104 Ph: (779) 696-1890

NPI Details:

NPI Number	1255846911
Provider Enumeration Date	12/04/2017
Last Update Date	10/02/2019

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255846911	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QM1300X	Clinic/center - Multi-specialty	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Rockford, IL

Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1848 Daimler Rd, Rockford, IL 61112 Phone: 815-229-2500 Fax: 815-398-9587
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
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2473 Mcfarland Rd, Rockford, IL 61107 Phone: 779-696-7190
Rockford School District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 N Gardiner Ave, Rockford, IL 61107 Phone: 815-398-3976
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2300 N Rockton Ave, Rockford, IL 61103 Phone: 815-971-2000
Rockford Adult Medicine Associates S C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 534 Roxbury Rd, Rockford, IL 61107 Phone: 815-381-7005
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 345 Executive Pkwy Ste L1, Rockford, IL 61107 Phone: 877-692-8686

- Primary Care in Rockford, IL