Individual
MR. FRED A SWEET
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2902 MCFARLAND RD, SUITE 300, ROCKFORD, IL 61107-6801
(815) 316-2100
(815) 316-2099
Mailing address
2902 MCFARLAND RD, SUITE 300, ROCKFORD, IL 61107-6801
(815) 316-2100
(815) 316-2099
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
036101976
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036101976 2
—
IL
Enumeration date
11/15/2005
Last updated
07/09/2007
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