Thinfast Md Rockford | |
461 N Mulford Rd Ste 9 Rockford IL 61107-5165 | |
(815) 229-1899 | |
Not Available |
Full Name | Thinfast Md Rockford |
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Speciality | Family Medicine - Obesity Medicine |
Location | 461 N Mulford Rd Ste 9, Rockford, Illinois |
Authorized Official Name and Position | Jameel Ahamed (OFFICE BILLER) |
Authorized Official Contact | 8472270293 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Thinfast Md Rockford 461 N Mulford Rd Ste 9 Rockford IL 61107-5190 Ph: (815) 229-1899 | Thinfast Md Rockford 461 N Mulford Rd Ste 9 Rockford IL 61107-5165 Ph: (815) 229-1899 |
NPI Number | 1366702292 |
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Provider Enumeration Date | 05/25/2012 |
Last Update Date | 06/06/2014 |
Identifier | Type | State | Issuer |
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1366702292 | NPI | - | NPPES |
036-126253 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QB0002X | Family Medicine - Obesity Medicine | 209007392 (Illinois) | 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 | |