Individual
DR. RAYMOND CHRISTOPHER GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8616 NORTHERN AVE, ROCKFORD, IL 61107-5309
(815) 399-9700
(815) 394-1401
Mailing address
1021 N MULFORD RD, ROCKFORD, IL 61107-3877
(815) 391-1000
(815) 394-1401
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
036093873
IL
2084P0800X
Psychiatry Physician
Primary
036093873
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036093873
STATE LICENSE
IL
05
—
036093873
—
IL
Enumeration date
12/23/2005
Last updated
06/18/2019
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