Individual
STEVEN BACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3871 N PERRYVILLE RD, ROCKFORD, IL 61114-8080
(815) 397-5554
Mailing address
3849 N. PERRYVILLLE ROAD, ROCKFORD, IL 61114
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036-131309
IL
2085R0202X
Diagnostic Radiology Physician
5101016772
MI
Other
Enumeration date
05/16/2007
Last updated
05/07/2024
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