| Summit Radiology, Llc | |
|
3849 N. Perryville Road Rockford IL 61114 | |
| (815) 654-2486 | |
| (815) 654-2680 |
| Full Name | Summit Radiology, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 3849 N. Perryville Road, Rockford, Illinois |
| Authorized Official Name and Position | Martin A. Urban (PRESIDENT) |
| Authorized Official Contact | 8156542486 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Radiology, Llc 3849 N. Perryville Road Rockford IL 61114 Ph: (815) 654-2486 | Summit Radiology, Llc 3849 N. Perryville Road Rockford IL 61114 Ph: (815) 654-2486 |
| NPI Number | 1811401284 |
|---|---|
| Provider Enumeration Date | 11/21/2017 |
| Last Update Date | 11/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811401284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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 | |