Organization
ORTHOPEDIC ASSOCIATES OF NORTHERN ILLINOIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA PALMER-BEARD CPA (EXECUTIVE DIRECTOR)
(815) 484-9999
Entity
Organization
Contact information
Practice address
1235 N MULFORD RD, SUITE 100, ROCKFORD, IL 61107-3879
(815) 484-9999
(815) 484-4255
Mailing address
1235 N MULFORD RD, SUITE 100, ROCKFORD, IL 61107-3879
(815) 484-9999
(815) 484-4255
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
09/30/2005
Last updated
12/13/2011
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