Organization
DIRECTCARE PHYSICIAN SERVICES, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH J ECKBURG MD (PRESIDENT)
(815) 751-6316
Entity
Organization
Contact information
Practice address
7117 CRIMSON RIDGE DR, SUITE 3, ROCKFORD, IL 61107-6213
(815) 633-8099
(630) 658-0543
Mailing address
7117 CRIMSON RIDGE DR, SUITE 3, ROCKFORD, IL 61107-6213
(815) 316-8700
(310) 356-4935
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/13/2012
Last updated
10/31/2019
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