Madison Vamc

NPI #1174567770 in Rockford, Illinois

Provider Information

NPI Number: 1174567770
Entity Type: Organization
Organization Name: Madison Vamc
Primary Specialty: Clinic/Center - VA
Enumeration Date: Jun 15, 2006
Last Updated: Feb 23, 2023

Practice Location

Address: 816 FEATHERSTONE RD
City: Rockford
State: Illinois
ZIP Code: 61107-6300
Phone: (608) 821-7200

Authorized Official

Name: ERIN POTTER
Title: NPI TEAM
Phone: (202) 382-2579

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - VA — VA	261QV0200X	Primary

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