Individual
DR. JOSEPH PATRICK GARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 E STATE ST, ROCKFORD, IL 61104-2231
(815) 972-1000
(815) 972-1086
Mailing address
1601 PARKVIEW AVE, CREDENTIALING S200C, ROCKFORD, IL 61107-1822
(815) 395-5861
(815) 395-5575
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
52444
MN
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
036151881
IL
Other
Enumeration date
08/17/2005
Last updated
11/08/2023
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