| Samg Northwest | |
|
3906 N Main St Suite A Rockford IL 61103-1679 | |
| (815) 282-6300 | |
| Not Available |
| Full Name | Samg Northwest |
|---|---|
| Speciality | Family Medicine |
| Location | 3906 N Main 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 |
|---|---|
| Samg Northwest Po Box 1567 Rockford IL 61110-0067 Ph: () - | Samg Northwest 3906 N Main St Suite A Rockford IL 61103-1679 Ph: (815) 282-6300 |
| NPI Number | 1134273238 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 09/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134273238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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