NPI 1992297428

Integrative Medical of Rockford

Organisation General Practice Physician Rockford, IL

Practice location

Address: 863 S Perryville Rd STE 100, Rockford, IL 61108-4328
Phone: (779) 423-2044
Fax: (779) 423-2045
Mailing address: 863 S. Perryville Rd, Rockford, IL 61108

Authorised official

Name: Jared G Erdmier
Title: Owner
Phone: (779) 423-2044

Registered specialties (2)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Illinois →

Physical Medicine & Rehabilitation Physician

Allopathic & Osteopathic Physicians Taxonomy 208100000X

Other Physical Medicine & Rehabilitation providers in Illinois →

Registry record

NPI: 1992297428
Entity type: Organization
NPI issued: 31 May 2018
Record last updated: 31 Mar 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.