| Samg Brookside | |
|
1215 N Alpine Rd Rockford IL 61107-2201 | |
| (815) 391-7700 | |
| Not Available |
| Full Name | Samg Brookside |
|---|---|
| Speciality | Family Medicine |
| Location | 1215 N Alpine Rd, 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 | Practice Location Address |
|---|---|
| Samg Brookside Po Box 1567 Rockford IL 61110-0067 Ph: (779) 696-7150 | Samg Brookside 1215 N Alpine Rd Rockford IL 61107-2201 Ph: (815) 391-7700 |
| NPI Number | 1619039724 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 07/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619039724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
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