Individual
MRS. SUSAN K FENDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6822 CUMMINS DR, ROCKFORD, IL 61114-8069
(815) 579-9543
Mailing address
6822 CUMMINS DR, ROCKFORD, IL 61114-8069
(815) 579-9543
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
56006379
IL
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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