Northern Illinois Nephrology, SC
Northern Illinois Nephrology, SC provides Nephrology Physician services in Rockford, Illinois. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
1340 Charles St Ste 400Rockford, IL 61104-2200
Phone: (815) 398-9590
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Specialties & licences
| Nephrology Physician (primary) | Taxonomy 207RN0300X |
|---|
Record details
| NPI number | 1295753176 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Wright — President/Owner · (815) 398-9590 |
| NPI enumerated | July 18, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1340 Charles St Ste 400, Rockford, IL 61104-2200 |
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