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Susan Provow, MD
Family Medicine Physician in Rock Falls, Illinois
NPI 1861580128

Susan Provow is a Family Medicine Physician based in Sterling, IL. Susan Provow practices in Rock Falls, IL and has the professional credentials of MD. The NPI Number for Susan Provow is 1861580128 and holds a License No. (Illinois).

The current practice location address for Susan Provow is 100 W 1St St, Rock Falls, IL and can be reached out via phone at 815-625-4790. You can also correspond with Susan Provow through the mailing address at 101 E MILLER RD, STERLING, IL - 61081-1252 (mailing address contact number: 815-625-4790).

Location: 100 W 1St St, Rock Falls, IL, 61081-1252
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861580128
Provider Name
Susan Provow
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
100 W 1St St, Rock Falls, IL, 61081-1252
Phone Number
815-625-4790
Fax Number
Provider Enumeration Date
10/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9815737 01 IL BLUE CROSS BLUE SHIELD
011542 01 IL HEALTH ALLIANCE MEDICAL
institution
Provider Business Practice Location Address Details
Address
100 W 1St St
City
Rock Falls
State
Illinois
Zip
61071-1269
Phone Number
815-625-4790
Fax Number
person
Provider Business Mailing Address Details
Address
100 W 1St St
City
Rock Falls
State
Illinois
Zip
61071-1269
Phone Number
815-625-4790
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
(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.
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