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Individual

MARK E HASTINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5668 E STATE ST, SUITE 400, ROCKFORD, IL 61108-2490
(815) 398-7755
(815) 398-7762
Mailing address
5668 E STATE ST, SUITE 400, ROCKFORD, IL 61108-2490
(815) 398-7755
(815) 398-7762

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036-078963
IL

Other

Enumeration date
07/28/2005
Last updated
10/16/2014
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