Organization
ROCKFORD PSYCHIATRIC MEDICAL SERVICES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM GIAKAS MD (PRESIDENT)
(815) 395-1500
Entity
Organization
Contact information
Practice address
1639 N ALPINE RD, 260, ROCKFORD, IL 61107-1449
(815) 395-1500
(815) 395-1415
Mailing address
PO BOX 957, ROCKFORD, IL 61105-0957
(815) 654-7772
(815) 654-7009
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209012268
IL
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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