Surgical Associates of Northern Illinois

NPI #1497736409 in Rockford, Illinois

Provider Information

NPI Number: 1497736409
Entity Type: Organization
Organization Name: Surgical Associates of Northern Illinois
Primary Specialty: Surgery
Enumeration Date: Nov 8, 2005
Last Updated: Jun 18, 2008

Practice Location

Address: 2350 N ROCKTON AVE
Address 2: SUITE 510
City: Rockford
State: Illinois
ZIP Code: 61103-3600
Phone: (815) 963-3426

Authorized Official

Name: MARY ANN RAUTER
Title: ASST OFFICE MANAGER
Phone: (815) 963-3426

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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