Organization
CENTER FOR SIGHT & HEARING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE JONES (PRESIDENT)
(815) 332-6801
Entity
Organization
Contact information
Practice address
8038 MACINTOSH LN, ROCKFORD, IL 61107-5300
(815) 332-6800
Mailing address
8038 MACINTOSH LN, ROCKFORD, IL 61107-5300
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
1053487942
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053487942
—
IL
Enumeration date
10/09/2014
Last updated
10/09/2014
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