NPI 1154798916

The Bridge Clinic of Rockofrd

Organisation Voluntary or Charitable Agency Rockford, IL

Practice location

Address: 318 N Church St, Rockford, IL 61101-1006
Phone: (815) 494-1594
Mailing address: PO Box 16024, Loves Park, IL 61132-6024

Authorised official

Name: Annette Olin
Title: Medical Director
Phone: (815) 494-1594

Registered specialties (2)

Voluntary or Charitable Agency Primary

Agencies Taxonomy 251V00000X

Other Voluntary or Charitable providers in Illinois →

Primary Care Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QP2300X

Other Clinic/Center providers in Illinois →

Registry record

NPI: 1154798916
Entity type: Organization
NPI issued: 27 Aug 2015
Record last updated: 27 Aug 2015

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.