Organization
WILLOWS HEALTH CENTER
Active
Other names
WESLEY WILLOWS OUTPATIENT REHAB CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A TICKNOR (CFO)
(815) 316-1518
Entity
Organization
Contact information
Practice address
4143 ALBRIGHT LANE, ROCKFORD, IL 61103
(815) 316-1518
Mailing address
4141 N ROCKTON AVE, ROCKFORD, IL 61103-1524
(815) 316-1518
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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