Organization
LTC MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH JOHN ECKBURG M.D (OFFICER)
(815) 289-7098
Entity
Organization
Contact information
Practice address
5911 NEBESHONE LN, ROCKFORD, IL 61103-8926
(815) 633-8099
(815) 633-0096
Mailing address
5911 NEBESHONE LN, ROCKFORD, IL 61103-8926
(815) 633-8099
(815) 633-0096
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/03/2009
Last updated
06/24/2009
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