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815 Marchesano Dr Rockford IL 61102-3521 | |
(779) 696-5950 | |
(815) 962-8802 |
Full Name | |
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Speciality | Family Medicine |
Location | 815 Marchesano Dr, Rockford, Illinois |
Authorized Official Name and Position | Patricia Foss (DIRECTOR) |
Authorized Official Contact | 7796967115 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 78866 Milwaukee WI 53278-8866 Ph: (779) 696-7150 | 815 Marchesano Dr Rockford IL 61102-3521 Ph: (779) 696-5950 |
NPI Number | 1922570035 |
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Provider Enumeration Date | 12/31/2018 |
Last Update Date | 12/31/2018 |
Identifier | Type | State | Issuer |
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1922570035 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
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 | |