Crusaders Central Clinic Association

NPI #1841970068 in Rockford, Illinois

Provider Information

NPI Number
1841970068
Entity Type
Organization
Organization Name
Crusaders Central Clinic Association
Subpart
Yes (part of a larger organization)
Parent Organization
CRUSADERS CENTRAL CLINIC ASSOCIATION
Primary Specialty
Health Educator
Enumeration Date
Jul 21, 2023
Last Updated
Feb 13, 2025

Practice Location

Address
1100 BROADWAY
ZIP Code
61104-1429
Phone
(815) 490-1600

Authorized Official

Name
PEGGYANNE DAVENPORT
Title
CREDENTIALING ADMINISTRATOR
Phone
(815) 490-1616

Specialties & Taxonomy Codes

Specialty
Health Educator

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