Grand Victorian of Rockford, LLC

NPI #1891991550 in Rockford, Illinois

Provider Information

NPI Number: 1891991550
Entity Type: Organization
Organization Name: Grand Victorian of Rockford, LLC
Primary Specialty: Point of Service
Enumeration Date: Jun 21, 2007
Last Updated: May 13, 2008

Practice Location

Address: 3495 MCFARLAND RD
City: Rockford
State: Illinois
ZIP Code: 61114-5609
Phone: (815) 654-1400

Authorized Official

Name: MR. JOHN HOLTZ
Title: CONTROLLER
Phone: (541) 747-3373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Point of Service	305S00000X	Primary

Similar Providers

Provider Name	Specialty	City
River District Rehabilitation, LLC	Point of Service	Rockford	AI Deep Dive
International Dental Center	Point of Service	Rockford	AI Deep Dive
Global Dental Center INC	Point of Service	Rockford	AI Deep Dive
Nova Care	Point of Service	Chicago	AI Deep Dive
Pef Clinic, Ltd	Point of Service	Chicago	AI Deep Dive

Want to research this healthcare provider further?