| Psychiatric Associates Of Rockford Sc | |
|
6078 Palo Verde Dr Rockford IL 61114-8117 | |
| (815) 398-9360 | |
| (815) 398-1028 |
| Full Name | Psychiatric Associates Of Rockford Sc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 6078 Palo Verde Dr, Rockford, Illinois |
| Authorized Official Name and Position | Peter Smith (CREDENTIALING MANAGER) |
| Authorized Official Contact | 8159658505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric Associates Of Rockford Sc 6078 Palo Verde Dr Rockford IL 61114-8117 Ph: (815) 398-9360 | Psychiatric Associates Of Rockford Sc 6078 Palo Verde Dr Rockford IL 61114-8117 Ph: (815) 398-9360 |
| NPI Number | 1013077619 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 12/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013077619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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