| Osfmg - Holton | |
|
5713 Strathmoor Dr Rockford IL 61107-7093 | |
| (800) 589-6070 | |
| (309) 683-5969 |
| Full Name | Osfmg - Holton |
|---|---|
| Speciality | Family Medicine |
| Location | 5713 Strathmoor Dr, Rockford, Illinois |
| Authorized Official Name and Position | Robert C Sehring (CEO) |
| Authorized Official Contact | 3096552850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Osfmg - Holton 124 Sw Adams St Peoria IL 61602-1308 Ph: (309) 655-2850 | Osfmg - Holton 5713 Strathmoor Dr Rockford IL 61107-7093 Ph: (800) 589-6070 |
| NPI Number | 1235178435 |
|---|---|
| Provider Enumeration Date | 06/05/2006 |
| Last Update Date | 03/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235178435 | NPI | - | NPPES |
| 10123444 | Other | IL | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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