| Sa Five Points Clinic | |
|
2404 Charles St Rockford IL 61108 | |
| (779) 696-7910 | |
| Not Available |
| Full Name | Sa Five Points Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 2404 Charles St, Rockford, Illinois |
| Authorized Official Name and Position | Don Daniels (VP) |
| Authorized Official Contact | 8159662084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sa Five Points Clinic Po Box 78866 Milwaukee WI 53278-8866 | Sa Five Points Clinic 2404 Charles St Rockford IL 61108 Ph: (779) 696-7910 |
| NPI Number | 1093827115 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 07/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093827115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 363L00000X | Nurse Practitioner | () | Secondary |
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