| Guiding Health Immediate & Primary Care, Pllc | |
|
2623 Charles St Fl 2 Rockford IL 61108-1608 | |
| (773) 407-5366 | |
| Not Available |
| Full Name | Guiding Health Immediate & Primary Care, Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 2623 Charles St Fl 2, Rockford, Illinois |
| Authorized Official Name and Position | Alexandra Mendez (OWNER) |
| Authorized Official Contact | 7734075366 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Guiding Health Immediate & Primary Care, Pllc 2623 Charles St Fl 2 Rockford IL 61108-1608 Ph: (773) 407-5366 | Guiding Health Immediate & Primary Care, Pllc 2623 Charles St Fl 2 Rockford IL 61108-1608 Ph: (773) 407-5366 |
| NPI Number | 1407571334 |
|---|---|
| Provider Enumeration Date | 10/04/2022 |
| Last Update Date | 07/19/2023 |
| Medicare PECOS PAC ID | 2062884950 |
|---|---|
| Medicare Enrollment ID | O20230201002566 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407571334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Alexandra Mendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447794144 PECOS PAC ID: 7517238041 Enrollment ID: I20170802001408 |
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