NORTHERN ILLINOIS MEDICAL GROUP S. C. NPI 1861670101

NPI Information

NORTHERN ILLINOIS MEDICAL GROUP 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. NORTHERN ILLINOIS MEDICAL GROUP S. C. NPI is 1861670101. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5301 E STATE ST STE 101
ROCKFORD, IL
ZIP 61108-388
Phone: (815) 397-8500
Fax: (815) 397-8588

The provider's authorized official is Andrew Kong .
The authorized official title is Owner and has the following contact phone number (815) 397-8500.

The enumeration date for this NPI number is 2/8/2008 and was last updated on 10/28/2013.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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