PHOENIX MEDICAL PRACTICE CORPORATION S C NPI 1740553155

NPI Information

PHOENIX MEDICAL PRACTICE CORPORATION S C is a family medicine in Rockford, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PHOENIX MEDICAL PRACTICE CORPORATION S C NPI is 1740553155. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5727 STRATHMOOR DR
ROCKFORD, IL
ZIP 61107-180
Phone: (815) 226-8050

The provider's authorized official is James W Phoenix .
The authorized official title is President and has the following contact phone number (815) 226-8050.

The enumeration date for this NPI number is 2/15/2012 and was last updated on 2/24/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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