Individual
MARGARET PROVENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1253 N ALPINE RD, ROCKFORD, IL 61107
(779) 696-9201
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
(779) 696-7150
(779) 696-7342
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036072887
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036072887
—
IL
Enumeration date
07/17/2006
Last updated
02/19/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us