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Individual

IRIS FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
3839 92ND ST SW, BYRON CENTER, MI 49315-9705
(616) 914-1787
(231) 237-4639
Mailing address
150 QUAIL RIDGE DR, WESTMONT, IL 60559-6142
(630) 321-8300
(630) 321-8750

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036081804
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036081804
IL
01
04532206
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/14/2005
Last updated
02/28/2023
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