Integrative Medical Associates of Rockford, LLC

NPI #1164845459 in Rockford, Illinois

Provider Information

NPI Number: 1164845459
Entity Type: Organization
Organization Name: Integrative Medical Associates of Rockford, LLC
Primary Specialty: Family Medicine
Enumeration Date: Jan 23, 2014
Last Updated: Jan 23, 2014

Practice Location

Address: 1639 N ALPINE RD
Address 2: SUITE 502
City: Rockford
State: Illinois
ZIP Code: 61107-1449
Phone: (815) 289-4697

Authorized Official

Name: DR. STEPHEN T NITZ, PHYSICIAN
Title: CEO
Phone: (815) 289-4697

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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