| Sa Rochelle Clinic | |
|
380 E Il Route 38 Rochelle IL 61068 | |
| (779) 696-9050 | |
| Not Available |
| Full Name | Sa Rochelle Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 380 E Il Route 38, Rochelle, 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 | Practice Location Address |
|---|---|
| Sa Rochelle Clinic Po Box 78866 Milwaukee WI 53278-8866 Ph: () - | Sa Rochelle Clinic 380 E Il Route 38 Rochelle IL 61068 Ph: (779) 696-9050 |
| NPI Number | 1699011692 |
|---|---|
| Provider Enumeration Date | 12/19/2012 |
| Last Update Date | 07/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699011692 | NPI | - | NPPES |
| 14D2054067 | Other | IL | CLIA |
| 075 | Other | IL | TRICARE |
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