Organization
THE BRIDGE CLINIC OF ROCKOFRD
Active
Organization
THE BRIDGE CLINIC OF ROCKOFRD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNETTE OLIN M.D. (MEDICAL DIRECTOR)
(815) 494-1594
Entity
Organization
Contact information
Practice address
318 N CHURCH ST, ROCKFORD, IL 61101-1006
(815) 494-1594
Mailing address
PO BOX 16024, LOVES PARK, IL 61132-6024
(815) 494-1594
(866) 506-0931
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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