| Thinfast Md Rockford | |
|
461 N Mulford Rd Ste 9 Rockford IL 61107-5165 | |
| (815) 229-1899 | |
| Not Available |
| Full Name | Thinfast Md Rockford |
|---|---|
| Speciality | Family Medicine - Obesity Medicine |
| Location | 461 N Mulford Rd Ste 9, Rockford, Illinois |
| Authorized Official Name and Position | Jameel Ahamed (OFFICE BILLER) |
| Authorized Official Contact | 8472270293 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thinfast Md Rockford 461 N Mulford Rd Ste 9 Rockford IL 61107-5190 Ph: (815) 229-1899 | Thinfast Md Rockford 461 N Mulford Rd Ste 9 Rockford IL 61107-5165 Ph: (815) 229-1899 |
| NPI Number | 1366702292 |
|---|---|
| Provider Enumeration Date | 05/25/2012 |
| Last Update Date | 06/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366702292 | NPI | - | NPPES |
| 036-126253 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QB0002X | Family Medicine - Obesity Medicine | 209007392 (Illinois) | Primary |
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