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Madhav K Srivastava, MD
Neurology Physician in Rockford, Illinois
NPI 1770565905

Madhav K Srivastava is a Neurology Physician based in Rockford, IL and is specialized in Neurology. Madhav K Srivastava practices in Rockford, IL and has the professional credentials of MD. The NPI Number for Madhav K Srivastava is 1770565905 and holds a License No. 36061106 (Illinois).

The current practice location address for Madhav K Srivastava is 4920 E State St, Rockford, IL and can be reached out via phone at 815-226-1906 and via fax at 815-226-8474.

Location: 4920 E State St, Rockford, IL, 61108-2272
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770565905
Provider Name
Madhav K Srivastava
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4920 E State St, Rockford, IL, 61108-2272
Phone Number
815-226-1906
Fax Number
815-226-8474
Provider Enumeration Date
11/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
791133506 01 IL RETIRED RAILROAD
036061106 05 IL
008839 01 IL HEALTH ALLIANCE
0010100569 01 IL BCBS
institution
Provider Business Practice Location Address Details
Address
4920 E State St
City
Rockford
State
Illinois
Zip
61108-2272
Phone Number
815-226-1906
Fax Number
815-226-8474
person
Provider Business Mailing Address Details
Address
4920 E State St
City
Rockford
State
Illinois
Zip
61108-2272
Phone Number
815-226-1906
Fax Number
815-226-8474
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
36061106 (Illinois)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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