Individual
MS. CYNTHIA ANN BEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2300 N ROCKTON AVE, STE 304, ROCKFORD, IL 61103-3619
(815) 964-3333
(815) 964-3331
Mailing address
PO BOX 15730, LOVES PARK, IL 61132-5730
(815) 864-3333
(815) 864-3331
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
IL
363AS0400X
Surgical Physician Assistant
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
194269
PERSONAL CARE
IL
Enumeration date
06/23/2005
Last updated
12/17/2007
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