Tps Facility LLC

NPI #1154942357 in Rockford, Illinois

Provider Information

NPI Number
1154942357
Entity Type
Organization
Organization Name
Tps Facility LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Apr 29, 2020
Last Updated
Apr 29, 2020

Practice Location

Address
5995 SPRING CREEK RD
ZIP Code
61114-6481
Phone
(815) 977-4403

Authorized Official

Name
LANDON PRYOR, MD
Title
PROVIDER
Phone
(815) 977-4403

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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