Individual
JOANNA M NIEMIEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
612 ROXBURY ROAD, ROCKFORD, IL 61107-5089
(815) 227-8300
(815) 227-8301
Mailing address
612 ROXBURY ROAD, ROCKFORD, IL 61107-5089
(815) 227-8300
(815) 227-8301
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036110673
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036110673
—
IL
05
—
34766600
—
WI
Enumeration date
07/18/2006
Last updated
07/09/2009
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