Individual
DR. MARIAN MARY TRIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8201 E RIVERSIDE BLVD, ROCKFORD, IL 61114-2300
(815) 971-4066
(815) 971-9299
Mailing address
8201 E RIVERSIDE BLVD, ROCKFORD, IL 61114-2300
(815) 971-4066
(815) 971-9299
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036147046
IL
208M00000X
Hospitalist Physician
036147046
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125067058
—
IL
05
—
1316334287
—
WI
Enumeration date
04/18/2015
Last updated
11/19/2025
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