The Bridge Clinic of Rockofrd

NPI #1154798916 in Rockford, Illinois

Provider Information

NPI Number
1154798916
Entity Type
Organization
Organization Name
The Bridge Clinic of Rockofrd
Primary Specialty
Voluntary or Charitable
Enumeration Date
Aug 27, 2015
Last Updated
Aug 27, 2015

Practice Location

Address
318 N CHURCH ST
ZIP Code
61101-1006
Phone
(815) 494-1594

Authorized Official

Name
DR. ANNETTE OLIN, M.D.
Title
MEDICAL DIRECTOR
Phone
(815) 494-1594

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care
Voluntary or Charitable

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