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Individual

JOHN LIND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5666 E STATE ST, ROCKFORD, IL 61108
(815) 226-2000
Mailing address
PO BOX 1790, BROOKFIELD, WI 53008-1790
(815) 226-2000

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036073767
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036073767
IL
Enumeration date
05/20/2006
Last updated
06/15/2018
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