NPI 1245312800

Northwest Suburban Independent Practitioners Association

Organisation Health Maintenance Organization Rockford, IL

Practice location

Address: 630 E Jefferson St, Rockford, IL 61107-4026
Phone: (815) 490-6798
Fax: (800) 747-2264

Authorised official

Name: David Feerst
Title: President
Phone: (815) 490-6781

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

Other Health Maintenance Organization providers in Illinois →

Registry record

NPI: 1245312800
Entity type: Organization
NPI issued: 20 Oct 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.