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Organization

REGINA B BIELKUS MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REGINA BIELKUS MD (OWNER/PHYSICIAN)
(815) 226-1906
Entity
Organization

Contact information

Practice address
5668 E STATE ST, SUITE 2700, ROCKFORD, IL 61108-2490
(815) 226-1906
Mailing address
PO BOX 967, TINLEY PARK, IL 60477-0967

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00010100633
BC/BS
IL
Enumeration date
09/20/2006
Last updated
08/22/2020
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