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STERLING ROCK FALLS CLINIC LTD NPI 1205918810


NPI Information

NPI: 1205918810
Provider Name: STERLING ROCK FALLS CLINIC, LTD

Other Name: STERLING ROCK FALL CLINIC

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
101 E MILLER RD
STERLING, IL
ZIP 61081
Phone: (815) 625-4790
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STERLING ROCK FALLS CLINIC, LTD is a multi-specialty clinic center in Sterling, IL. STERLING ROCK FALLS CLINIC, LTD NPI is 1205918810. The provider is registered as an organization entity type.
The provider Other Name Is Sterling Rock Fall Clinic.

The provider's business location address is:

101 E MILLER RD
STERLING, IL
ZIP 61081-252
Phone: (815) 625-4790

The provider's authorized official is Jeffrey Lemay .
The authorized official title is Vp-board Of Directors and has the following contact phone number (815) 625-4790.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 8/3/2007.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1952420MEDICARE ID-TYPE UNSPECIFIED
2204552MEDICARE ID-TYPE UNSPECIFIED
3221750MEDICARE ID-TYPE UNSPECIFIED
4562690MEDICARE ID-TYPE UNSPECIFIED
5204627MEDICARE ID-TYPE UNSPECIFIED
6208244MEDICARE ID-TYPE UNSPECIFIED
7952400MEDICARE ID-TYPE UNSPECIFIED
8952410MEDICARE ID-TYPE UNSPECIFIED
9204624MEDICARE ID-TYPE UNSPECIFIED
10555010MEDICARE ID-TYPE UNSPECIFIED
11554070MEDICARE ID-TYPE UNSPECIFIED
12952620MEDICARE ID-TYPE UNSPECIFIED
139815737OTHERILLINOISBLUE CROSS BLUE SHIELD
14257410MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
15554080MEDICARE ID-TYPE UNSPECIFIED
16201757MEDICARE ID-TYPE UNSPECIFIED
17204551MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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