Perryville Surgical Associates Sc

NPI #1154427664 in Rockford, Illinois

Provider Information

NPI Number: 1154427664
Entity Type: Organization
Organization Name: Perryville Surgical Associates Sc
Primary Specialty: Surgery
Enumeration Date: Sep 15, 2006
Last Updated: May 18, 2011

Practice Location

Address: 535 ROXBURY RD
City: Rockford
State: Illinois
ZIP Code: 61107-5076
Phone: (815) 398-0175

Authorized Official

Name: DR. KENNETH W MIHELICH, MD
Title: SECRETARY
Phone: (815) 398-0175

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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