NPI 1225102627

Evanston Northwestern Healthcare Medical Group

Organisation Health Maintenance Organization Rockford, IL

Practice location

Address: 630 E Jefferson St, Rockford, IL 61107-4026
Phone: (815) 967-7399

Authorised official

Name: Victoria L Welter
Title: Director Hmo Administration
Phone: (815) 490-6752

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

Other Health Maintenance Organization providers in Illinois →

Registry record

NPI: 1225102627
Entity type: Organization
NPI issued: 17 Nov 2006
Record last updated: 22 Aug 2020

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.