Rockford Dermatology SC
Rockford Dermatology SC provides Dermatology Physician services in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
4338 Morsay DrRockford, IL 61107-4877
Phone: (815) 399-6400
Fax: (815) 399-4424
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Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence 042617821 (IL) |
|---|---|
| Procedural Dermatology Physician | Taxonomy 207NS0135X · Licence 042617821 (IL) |
Record details
| NPI number | 1487751335 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lakimerly Coates — President · (815) 399-6400 |
| NPI enumerated | September 20, 2006 |
| Last updated in NPPES | February 19, 2018 |
| Mailing address | 4338 Morsay Dr, Rockford, IL 61107-4877 |
Other providers in Rockford
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Edgebrook Dermatology, PC
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-
Albert W. Hudson, MD
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-
Paul Revis MD SC
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Paul Revis, MD
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Dr. Melissa L Stenstrom, MD
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Surgical Services of Illinois, SC
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