Organization
STERLING ROCK FALLS CLINIC
Active
Other names
The Dixon Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY LEMAY M.D. (VP-BOARD OF DIRECTORS)
(815) 625-4790
Entity
Organization
Contact information
Practice address
1321 N GALENA AVE, DIXON, IL 61021-1009
(815) 284-1600
Mailing address
101 E MILLER RD, STERLING, IL 61081-1252
(815) 625-4790
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0423280003
DME
IL
01
—
9815737
BLUE CROSS BLUE SHIELD
IL
Enumeration date
10/20/2006
Last updated
11/15/2007
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