Rockford Urological Associates, Ltd.

NPI #1194786558 in Rockford, Illinois

Provider Information

NPI Number: 1194786558
Entity Type: Organization
Organization Name: Rockford Urological Associates, Ltd.
Primary Specialty: Urology
Enumeration Date: Mar 28, 2006
Last Updated: Dec 22, 2023

Practice Location

Address: 351 EXECUTIVE PKWY
City: Rockford
State: Illinois
ZIP Code: 61107-5339
Phone: (815) 398-4057

Authorized Official

Name: JON PICK
Title: COO
Phone: (815) 398-4057

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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