Individual
DAVID S FOOTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6090 STRATHMOOR DR, ROCKFORD, IL 61107-6628
(815) 633-8586
Mailing address
6785 WEAVER RD, STE D, ROCKFORD, IL 61114-8055
(815) 633-8586
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036083677
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
036-083677
IL
Other
Enumeration date
05/24/2006
Last updated
06/06/2011
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