Organization
ROCK VALLEY WOMEN'S HEALTH CENTER, LLC
Active
Other names
Rock Valley Women's Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEE A JOHNSON (PRACTICE ADMINISTRATOR)
(815) 637-6200
Entity
Organization
Contact information
Practice address
6861 VILLAGREEN VW, ROCKFORD, IL 61107-5639
(815) 637-6200
(815) 637-1998
Mailing address
6861 VILLAGREEN VW, ROCKFORD, IL 61107-5639
(815) 637-6200
(815) 637-1998
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0030559-6
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10123243
BLUE CROSS BLUE SHIELD
IL
01
—
IL0100
JOHN DEERE
IL
Enumeration date
09/27/2006
Last updated
02/15/2008
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