Beloit Clinic Sc

NPI #1497879878 in Roscoe, Illinois

Provider Information

NPI Number: 1497879878
Entity Type: Organization
Organization Name: Beloit Clinic Sc
Subpart: Yes (part of a larger organization)
Parent Organization: BELOIT CLINIC SC
Primary Specialty: Internal Medicine
Enumeration Date: Mar 19, 2007
Last Updated: Feb 6, 2008

Practice Location

Address: 5605 EAST ROCKTON RD
Address 2: NORTH POINTE
City: Roscoe
State: Illinois
ZIP Code: 61073-7601
Phone: (815) 525-4500

Authorized Official

Name: WILLIAM P SULLIVAN, CEO
Title: ADMINISTRATOR
Phone: (608) 364-2200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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