NPI 1003033861

Glenwood Center LTD

Organisation Psychiatry Physician Rockford, IL

Practice location

Address: 2823 Glenwood Ave, Rockford, IL 61101-3542
Phone: (815) 968-5342
Fax: (815) 968-4656

Authorised official

Name: Frank Eugene Cushing
Title: President
Phone: (815) 968-5342

Registered specialties

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X

Other Psychiatry & Neurology providers in Illinois →

Registry record

NPI: 1003033861
Entity type: Organization
NPI issued: 20 Apr 2007
Record last updated: 3 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.