Organization
ROCKFORD HEALTH PHYSICIAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN RUGGLES M.D. (CHIEF PHYSICIAN EXECUTIVE)
(815) 971-7270
Entity
Organization
Contact information
Practice address
2400 N ROCKTON AVE, ROCKFORD, IL 61103-3655
(815) 742-1255
Mailing address
18566 W POINT DR, TINLEY PARK, IL 60477-4931
(708) 429-9364
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Enumeration date
07/28/2006
Last updated
08/22/2020
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