Medchoice Medical Center Ltd

NPI #1093716318 in Rockford, Illinois

Provider Information

NPI Number: 1093716318
Entity Type: Organization
Organization Name: Medchoice Medical Center Ltd
Primary Specialty: Physical Therapist
Enumeration Date: Aug 9, 2005
Last Updated: Jun 30, 2010

Practice Location

Address: 6905 E STATE ST
City: Rockford
State: Illinois
ZIP Code: 61108-2692
Phone: (815) 397-4142

Authorized Official

Name: DR. ANTONIO R. BALUGA, M.D.
Title: MEDICAL DIRECTOR
Phone: (815) 397-4142

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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