Organization
OTTAWA MEDICAL CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN S ROSBOROUGH M.D. (PRESIDENT)
(815) 433-1010
Entity
Organization
Contact information
Practice address
1614 E NORRIS DR, OTTAWA, IL 61350-3681
(815) 433-1010
(815) 431-3259
Mailing address
1614 E NORRIS DR, OTTAWA, IL 61350-3681
(815) 433-1010
(815) 431-3259
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IL
Other
Enumeration date
09/12/2006
Last updated
08/22/2020
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