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Philip Carlson-dexter, MD
Family Medicine Physician in Rockford, Illinois
NPI 1053847186

Philip Carlson-dexter is a Family Medicine Physician based in Milwaukee, IL. Philip Carlson-dexter practices in Rockford, IL and has the professional credentials of MD. The NPI Number for Philip Carlson-dexter is 1053847186 and holds a License No. 125-070084 (Illinois).

The current practice location address for Philip Carlson-dexter is 2909 N Main St, Rockford, IL and can be reached out via phone at 779-696-5000.

Location: 2909 N Main St, Rockford, IL, 53278-8866
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053847186
Provider Name
Philip Carlson-dexter
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2909 N Main St, Rockford, IL, 53278-8866
Phone Number
779-696-5000
Fax Number
Provider Enumeration Date
05/10/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2909 N Main St
City
Rockford
State
Illinois
Zip
61103-3100
Phone Number
779-696-5000
Fax Number
person
Provider Business Mailing Address Details
Address
2909 N Main St
City
Rockford
State
Illinois
Zip
61103-3100
Phone Number
779-696-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036151529 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
125-070084 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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