Organization
BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Active
Other names
UIC Women & Children's Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN FITZHORN (DIRECTOR OF PATIENT ACCOUNTS)
(815) 395-5892
Entity
Organization
Contact information
Practice address
2780 MCFARLAND RD, ROCKFORD, IL 61107-6807
(815) 637-0000
(815) 637-0040
Mailing address
1601 PARKVIEW AVE, S300, ROCKFORD, IL 61107-1822
(815) 395-5892
(815) 395-5644
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
06/01/2006
Last updated
09/10/2007
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