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Organization
BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Active
Organization
BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Active
Other names
University Allergy & Asthma
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN FITZHORN (DIRECTOR OF PATIENT ACCOUNTS)
(815) 395-5892
Entity
Organization
Contact information
Practice address
1601 PARKVIEW AVE, ROCKFORD, IL 61107-1822
(815) 395-5560
Mailing address
1601 PARKVIEW AVE, S300, ROCKFORD, IL 61107-1822
(815) 395-5892
(815) 395-5644
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
06/14/2006
Last updated
09/10/2007
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