Organization
ROSECRANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL VICK (CFO)
(815) 312-6821
Entity
Organization
Contact information
Practice address
2704 N MAIN ST, ROCKFORD, IL 61103-3112
(815) 391-1000
Mailing address
1021 N MULFORD RD, ROCKFORD, IL 61107-3874
(815) 387-5623
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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