Ob-Gyn Associates (rockford) Ltd.

NPI #1841335072 in Rockford, Illinois

Provider Information

NPI Number: 1841335072
Entity Type: Organization
Organization Name: Ob-Gyn Associates (rockford) Ltd.
Primary Specialty: Specialist
Enumeration Date: Feb 21, 2007
Last Updated: Jun 6, 2014

Practice Location

Address: 1016 FEATHERSTONE ROAD
Address 2: ROCKFORD AMBULATORY SURGERY CENTER
City: Rockford
State: Illinois
ZIP Code: 61107
Phone: (815) 494-9867

Authorized Official

Name: CHARLES BIRCH HOLLMAN, MD
Title: VICE PRESIDENT
Phone: (815) 494-9867

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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