Organization
FREEPORT REGIONAL HEALTH CARE FOUNDATION
Active
Other names
FHN Leonard C Ferguson Cancer Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PERRY MD (CEO PRESIDENT)
(815) 599-6000
Entity
Organization
Contact information
Practice address
1163 W STEPHENSON ST, FREEPORT, IL 61032-4866
(815) 599-7000
Mailing address
421 W EXCHANGE ST, PO BOX 268, FREEPORT, IL 61032-4008
(815) 599-7958
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1019300001
MEDICARE DME
IL
Enumeration date
10/25/2007
Last updated
11/12/2007
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