Organization
SURGICAL ASSOCIATES OF NORTHERN ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANN RAUTER (ASST OFFICE MANAGER)
(815) 963-3426
Entity
Organization
Contact information
Practice address
2350 N ROCKTON AVE, SUITE 510, ROCKFORD, IL 61103-3600
(815) 963-3426
(815) 963-3428
Mailing address
2350 N ROCKTON AVE, SUITE 510, ROCKFORD, IL 61103-3600
(815) 963-3426
(815) 963-3428
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
11/08/2005
Last updated
06/18/2008
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