NPI 1093716318

Medchoice Medical Center LTD

Organisation Physical Therapist Rockford, IL

Practice location

Address: 6905 E State St, Rockford, IL 61108-2692
Phone: (815) 397-4142
Fax: (815) 397-4144
Mailing address: PO Box 6107, Rockford, IL 61125-1107

Authorised official

Name: Antonio R. Baluga
Title: Medical Director
Phone: (815) 397-4142

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 042-007683 (IL)

Other Physical Therapist providers in Illinois →

Registry record

NPI: 1093716318
Entity type: Organization
NPI issued: 9 Aug 2005
Record last updated: 30 Jun 2010

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.