Individual
BRIAN C SLINDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
324 ROXBURY RD, ROCKFORD, IL 61107-5090
(815) 398-9491
(815) 381-7498
Mailing address
PO BOX 735263, CHICAGO, IL 60673-5263
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070011604
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619908
BCBS IL GROUP NUMBER
IL
01
—
1623066
BCBS PROVIDER #
IL
01
—
367885100
US DEPT OF LABOR #
IL
01
—
650022980
R.R. MEDICARE PIN
IL
01
—
CJ8115
R.R. MEDICARE GROUP #
IL
Enumeration date
09/02/2006
Last updated
08/11/2023
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