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Organization

GLENWOOD CENTER LTD

Active
Other names
GLENWOOD BUILDING GROUP LTD
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FRANK EUGENE CUSHING ED. D (PRESIDENT)
(815) 968-5342
Entity
Organization

Contact information

Practice address
2823 GLENWOOD AVE, ROCKFORD, IL 61101-3542
(815) 968-5342
(815) 968-4656
Mailing address
2823 GLENWOOD AVE, ROCKFORD, IL 61101-3542
(815) 968-5342
(815) 968-4656

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
04/20/2007
Last updated
01/03/2008
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