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Premise Health Of Illinois Medical, Pc
Clinic/Center in Rockford, Illinois
NPI 1770999872

Premise Health Of Illinois Medical, Pc is a Clinic/Center based in Brentwood, IL. Premise Health Of Illinois Medical, Pc practices in Rockford, IL. The NPI Number for Premise Health Of Illinois Medical, Pc is 1770999872 and holds a License No. (Illinois).

The current practice location address for Premise Health Of Illinois Medical, Pc is 2801 S Springfield Ave, Rockford, IL and can be reached out via phone at 815-721-8288 and via fax at 815-721-8270.

Location: 2801 S Springfield Ave, Rockford, IL, 37027-4993
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770999872
Provider Name
Premise Health Of Illinois Medical, Pc
Credential
Provider Entity Type
Organization
Address
2801 S Springfield Ave, Rockford, IL, 37027-4993
Phone Number
815-721-8288
Fax Number
815-721-8270
Provider Enumeration Date
07/09/2014
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2801 S Springfield Ave
City
Rockford
State
Illinois
Zip
61102-4205
Phone Number
815-721-8288
Fax Number
815-721-8270
person
Provider Business Mailing Address Details
Address
2801 S Springfield Ave
City
Rockford
State
Illinois
Zip
61102-4205
Phone Number
815-721-8288
Fax Number
815-721-8270
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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