Organization
HEIT HEALTH CENTER SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA GALLIVAN (MANAGER)
(815) 399-5860
Entity
Organization
Contact information
Practice address
7445 E STATE ST, ROCKFORD, IL 61108-2678
(815) 399-8560
(815) 399-6107
Mailing address
7445 E STATE ST, ROCKFORD, IL 61108-2678
(815) 399-8560
(815) 399-6107
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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