NPI 1134979438
Thrive Healthcare
Practice location
- Address
- 6653 Weaver Rd STE 106, Rockford, IL 61114-8068
- Phone
- (312) 550-6689
- Mailing address
- 1107 Forest Garden Dr, Loves Park, IL 61111-8974
Authorised official
- Name
- Vibhav Bansal
- Title
- Physician
- Phone
- (312) 550-6689
Registered specialties
Family Medicine Physician
Primary
Registry record
- NPI
- 1134979438
- Entity type
- Organization
- NPI issued
- 27 Mar 2024
- Record last updated
- 27 Mar 2024
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.