<unavail> in Rockford, IL - Medicare Family Medicine

is a medicare enrolled primary clinic (Family Medicine) in Rockford, Illinois. The current practice location for is 3775 N Mulford Rd, Rockford, Illinois. For appointments, you can reach them via phone at (779) 696-9202. The mailing address for is Po Box 78866, Milwaukee, Wisconsin and phone number is () -.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1073675187. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (779) 696-9202.

Contact Information


	3775 N Mulford Rd Rockford IL 61114-5632
	(779) 696-9202
	(779) 696-7794

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Family Medicine
Location	3775 N Mulford Rd, Rockford, Illinois
Authorized Official Name and Position	Don Daniels (VP)
Authorized Official Contact	8159662084
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 78866 Milwaukee WI 53278-8866 Ph: () -	3775 N Mulford Rd Rockford IL 61114-5632 Ph: (779) 696-9202

NPI Details:

NPI Number	1073675187
Provider Enumeration Date	12/14/2006
Last Update Date	09/22/2020

Medicare PECOS Information:

Medicare PECOS PAC ID	5799698346
Medicare Enrollment ID	O20100930009200

Medical Identifiers

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

Identifier	Type	State	Issuer
1073675187	NPI	-	NPPES
14D0430201	Other	IL	CLIA
066	Other	IL	TRICARE SUFFIX #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Primary
363A00000X	Physician Assistant	(* (Not Available))	Secondary
363L00000X	Nurse Practitioner	(* (Not Available))	Secondary
363LF0000X	Nurse Practitioner - Family	(* (Not Available))	Secondary

Reviews and Comments

Family Medicine in Rockford, IL

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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

- Medicare Primary Care in Rockford, IL