NPI 1003499278
Anthony Enrico
Practice location
- Address
- 5666 E State St, Rockford, IL 61108-2425
- Phone
- (815) 226-2000
- Mailing address
- 1911 Ridgeland Rd, Rockford, IL 61108-6321
Registered specialties (2)
Certified Registered Nurse Anesthetist
Primary
Registered Nurse
Registry record
- NPI
- 1003499278
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 4 May 2021
- Record last updated
- 28 Dec 2021
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.