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Individual

MR. DENNIS D. MAGDADARO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP-C

Contact information

Practice address
2300 N ROCKTON AVE, ROCKFORD, IL 61103-3619
(815) 971-2000
Mailing address
8158 ROYAL OAKS RD, ROCKFORD, IL 61107-2845
(815) 978-4283

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209016400
IL

Other

Enumeration date
10/16/2017
Last updated
01/10/2024
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