Individual
KEVIN TRIBBLE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 N ROCKTON AVE, ROCKFORD, IL 61103-3655
(815) 971-6205
Mailing address
2400 N ROCKTON AVE, ROCKFORD, IL 61103-3655
(815) 971-6205
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
36086239
IL
Other
Enumeration date
04/27/2006
Last updated
07/08/2007
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