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Individual

MOLLY MACINNES PERRI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1221 E STATE ST, ROCKFORD, IL 61104-2231
(815) 972-1000
Mailing address
1601 PARKVIEW AVE, ROCKFORD, IL 61107-1822
(815) 395-5861

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036173956
IL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
036173956
IL
208000000X
Pediatrics Physician
036173956
IL

Other

Enumeration date
04/20/2020
Last updated
03/18/2026
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