Innovamed Veins SC
Innovamed Veins SC provides Phlebology Physician services in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2009.
- Licensed in
- IL
- In the registry since
- 2009
- Specialties on file
- 2
Practice location Address checks out
2601 N Main StRockford, IL 61103-3110 Not confirmed with CMS for 17 years — call before visiting
Phone: (815) 987-1802
Fax: (815) 987-1806
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 036074111 (IL) |
|---|---|
| Phlebology Physician | Taxonomy 202K00000X · Licence 036074111 (IL) |
Record details
| NPI number | 1063652873 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tracy Brito — Owner · (815) 987-1802 |
| NPI enumerated | March 6, 2009 |
| Last updated in NPPES | June 4, 2009 |
| Mailing address | 2601 N Main St, Rockford, IL 61103-3110 |