# FIRST ASST OF NORTHERN IL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497762009
- **Authorized official:** GERARDO SANCHEZ RN (PRESIDENT)
- **Authorized official phone:** (920) 451-8142

## Contact information

- **Practice address:** 6785 WEAVER RD, STE D, ROCKFORD, IL 61114-8055
- **Practice address phone:** (920) 451-8142
- **Mailing address:** 6785 WEAVER RD, STE D, ROCKFORD, IL 61114-8055
- **Mailing address phone:** (920) 451-8142

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WR0006X | Registered Nurse First Assistant | — | NULL | Yes |
| 163WR0006X | Registered Nurse First Assistant | — | — | Yes |

## Other

- **Enumeration date:** 08/03/2006
- **Last updated:** 08/22/2020