| Mulford Medical Llc | |
|
657 S Mulford Rd Rockford IL 61108-2533 | |
| (815) 229-9900 | |
| (815) 229-9953 |
| Full Name | Mulford Medical Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 657 S Mulford Rd, Rockford, Illinois |
| Authorized Official Name and Position | Theodore H. Schock (MEMBER) |
| Authorized Official Contact | 8152299900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mulford Medical Llc 657 S Mulford Rd Rockford IL 61108-2533 Ph: (815) 229-9900 | Mulford Medical Llc 657 S Mulford Rd Rockford IL 61108-2533 Ph: (815) 229-9900 |
| NPI Number | 1639327828 |
|---|---|
| Provider Enumeration Date | 09/03/2008 |
| Last Update Date | 09/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639327828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036096167 (Illinois) | Primary |
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