Organization
NORTHWEST SUBURBAN INDEPENDENT PRACTITIONERS ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID FEERST M.D. (PRESIDENT)
(815) 490-6781
Entity
Organization
Contact information
Practice address
630 E JEFFERSON ST, ROCKFORD, IL 61107-4026
(815) 490-6798
(800) 747-2264
Mailing address
630 E JEFFERSON ST, ROCKFORD, IL 61107-4026
(815) 490-6798
(800) 747-2264
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
10/20/2006
Last updated
08/22/2020
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