Individual
MRS. STEN V CANTWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN FIRST ASSISTANT
Contact information
Practice address
1401 E STATE ST, ROCKFORD, IL 61104-2315
(815) 391-7150
(815) 061-2471
Mailing address
PO BOX 1567, ROCKFORD, IL 61110-0067
(815) 391-7150
(815) 061-2471
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
163WR0006X
IL
Other
Enumeration date
03/16/2010
Last updated
03/16/2010
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