Organization
BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Active
Other names
University Primary Care Clinic at Belvidere
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN FITZHORN (DIRECTOR OF PATIENT ACCOUNTS)
(815) 395-5892
Entity
Organization
Contact information
Practice address
2170 PEARL ST, BELVIDERE, IL 61008-6020
(815) 547-5461
(815) 544-9681
Mailing address
1601 PARKVIEW AVE, S300, ROCKFORD, IL 61107-1822
(815) 395-5892
(815) 395-5644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/04/2006
Last updated
09/10/2007
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