NPI 1174885107

Rockford Pain Management LTD

Organisation General Practice Physician Rockford, IL

Practice location

Address: 6451 E Riverside Blvd Suite 101, Rockford, IL 61114-4421
Phone: (815) 639-1090
Fax: (815) 639-9860

Authorised official

Name: Todd Cevene
Title: Owner
Phone: (815) 639-1090

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

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Registry record

NPI: 1174885107
Entity type: Organization
NPI issued: 14 Jun 2012
Record last updated: 14 Jun 2012

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.