Organization
HOPKINS FAMILY MED & URGENT CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FIKISHA LATOYA WARDEN MD (PHYSICIAN/MANAGER)
(815) 708-0116
Entity
Organization
Contact information
Practice address
4857 MANHATTAN DR, ROCKFORD, IL 61108-2265
(815) 708-0116
(815) 708-0174
Mailing address
4857 MANHATTAN DR, ROCKFORD, IL 61108-2265
(815) 708-0116
(815) 708-0174
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
248.002545
IDFPR
IL
Enumeration date
04/22/2019
Last updated
06/29/2020
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