Organization
M.H.R.C. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN J FIELDS MD (PSYCHIATRIST)
(815) 633-5985
Entity
Organization
Contact information
Practice address
5668 EAST STATE STREET, #2500, ROCKFORD, IL 61108-3108
(815) 633-5985
(815) 633-5927
Mailing address
PO. BOX 15395, LOVES PARK, IL 61132-5395
(815) 633-5985
(815) 633-5927
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
036044184
IL
103TC0700X
Clinical Psychologist
071006307
IL
Other
Enumeration date
08/17/2006
Last updated
03/13/2012
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