Individual
FARAH AUCKBARALLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2404 CHARLES ST, ROCKFORD, IL 61108-1602
(779) 696-7910
(815) 227-5515
Mailing address
1221 E STATE ST, ROCKFORD, IL 61104-2231
(815) 972-1000
(815) 972-1086
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-166627
IL
390200000X
Student in an Organized Health Care Education/Training Program
125076516
IL
Other
Enumeration date
07/17/2020
Last updated
03/14/2025
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