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Ear Nose & Throat Specialists Of Rockford Sc
Preferred Provider Organization in Rockford, Illinois
NPI 1740491745

Ear Nose & Throat Specialists Of Rockford Sc is a Preferred Provider Organization based in Rockford, IL. Ear Nose & Throat Specialists Of Rockford Sc practices in Rockford, IL. The NPI Number for Ear Nose & Throat Specialists Of Rockford Sc is 1740491745 and holds a License No. 036067207 (Illinois).

The current practice location address for Ear Nose & Throat Specialists Of Rockford Sc is 435 N Mulford Rd, Rockford, IL and can be reached out via phone at 815-399-5268 and via fax at 815-399-3623.

Location: 435 N Mulford Rd, Rockford, IL, 61107-5189
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740491745
Provider Name
Ear Nose & Throat Specialists Of Rockford Sc
Credential
Provider Entity Type
Organization
Address
435 N Mulford Rd, Rockford, IL, 61107-5189
Phone Number
815-399-5268
Fax Number
815-399-3623
Provider Enumeration Date
05/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036067207 05 IL
institution
Provider Business Practice Location Address Details
Address
435 N Mulford Rd
City
Rockford
State
Illinois
Zip
61107-5189
Phone Number
815-399-5268
Fax Number
815-399-3623
person
Provider Business Mailing Address Details
Address
435 N Mulford Rd
City
Rockford
State
Illinois
Zip
61107-5189
Phone Number
815-399-5268
Fax Number
815-399-3623
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
036067207 (Illinois)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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