| The Bridge Clinic Of Rockofrd | |
|
318 N Church St Rockford IL 61101-1006 | |
| (815) 494-1594 | |
| Not Available |
| Full Name | The Bridge Clinic Of Rockofrd |
|---|---|
| Speciality | Voluntary Or Charitable |
| Location | 318 N Church St, Rockford, Illinois |
| Authorized Official Name and Position | Annette Olin (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8154941594 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Bridge Clinic Of Rockofrd Po Box 16024 Loves Park IL 61132-6024 Ph: (815) 494-1594 | The Bridge Clinic Of Rockofrd 318 N Church St Rockford IL 61101-1006 Ph: (815) 494-1594 |
| NPI Number | 1154798916 |
|---|---|
| Provider Enumeration Date | 08/27/2015 |
| Last Update Date | 08/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154798916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 251V00000X | Voluntary Or Charitable | (* (Not Available)) | Primary |
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