Madison Vamc

NPI #1558414987 in Freeport, Illinois

Provider Information

NPI Number: 1558414987
Entity Type: Organization
Organization Name: Madison Vamc
Primary Specialty: Clinic/Center - VA
Enumeration Date: Jan 19, 2007
Last Updated: Sep 4, 2015

Practice Location

Address: 750 KIWANIS DR
Address 2: SUITE 250
City: Freeport
State: Illinois
ZIP Code: 61032-7119
Phone: (608) 821-7200

Authorized Official

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

Specialties & Taxonomy Codes

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

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