Edgebrook Dermatology P.c.

NPI #1225184948 in Rockford, Illinois

Provider Information

NPI Number: 1225184948
Entity Type: Organization
Organization Name: Edgebrook Dermatology P.c.
Primary Specialty: Dermatology
Enumeration Date: Jan 26, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1639 N ALPINE RD
City: Rockford
State: Illinois
ZIP Code: 61107-1449
Phone: (815) 229-9333

Authorized Official

Name: MARIA ALBASHA
Title: MD PRESIDENT
Phone: (815) 229-9333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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