Rockford Emergency Physicians, LLC

NPI #1639876634 in Rockford, Illinois

Provider Information

NPI Number: 1639876634
Entity Type: Organization
Organization Name: Rockford Emergency Physicians, LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Feb 9, 2023
Last Updated: Feb 9, 2023

Practice Location

Address: 1401 E STATE ST
City: Rockford
State: Illinois
ZIP Code: 61104-2315
Phone: (779) 696-4400

Authorized Official

Name: KIM LARSEN
Title: DIRECTOR OF CREDENTIALING
Phone: (770) 874-5400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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