GRAND VICTORIAN OF ROCKFORD, LLC is a point of service in Rockford, IL. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. GRAND VICTORIAN OF ROCKFORD, LLC NPI is 1891991550. The provider is registered as an organization entity type.
The provider's business location address is:
3495 MCFARLAND RD
ROCKFORD, IL
ZIP 61114-609
Phone: (815) 654-1400
Fax: (815) 654-1488
The provider's authorized official is John Holtz .
The authorized official title is Controller and has the following contact phone number (541) 747-3373.
The enumeration date for this NPI number is 6/21/2007 and was last updated on 5/13/2008.