Housecall Physicians Group of Rockford S C

NPI #1619900040 in Rockford, Illinois

Provider Information

NPI Number: 1619900040
Entity Type: Organization
Organization Name: Housecall Physicians Group of Rockford S C
Primary Specialty: Family Medicine
Enumeration Date: Jul 9, 2006
Last Updated: Apr 5, 2013

Practice Location

Address: 124 N WATER ST
Address 2: SUITE 208
City: Rockford
State: Illinois
ZIP Code: 61107-3960
Phone: (815) 312-5810

Authorized Official

Name: DR. CHARLES S. DEHAAN, M.D.
Title: PRESIDENT
Phone: (815) 312-5810

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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