Organization
NORTHERN ILLINOIS WOMEN'S CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS D CHRISTENSEN M.D. (CLINIC DIRECTOR)
(815) 963-4101
Entity
Organization
Contact information
Practice address
1400 BROADWAY, SUITE 201, ROCKFORD, IL 61104-1400
(815) 963-4101
(815) 963-6122
Mailing address
1400 BROADWAY, SUITE 201, ROCKFORD, IL 61104-1400
(815) 963-4101
(815) 963-6122
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
7002967
IL
Other
Enumeration date
10/23/2007
Last updated
06/18/2008
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