Organization
ROCKFORD PSYCHIATRIC MEDICAL SERVICES, S.C.
Active
Organization
ROCKFORD PSYCHIATRIC MEDICAL SERVICES, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY L MARRINER (CREDENTIALING MANAGER)
(630) 912-4241
Entity
Organization
Contact information
Practice address
1639 N ALPINE RD STE 260, ROCKFORD, IL 61107-1481
(815) 395-1500
(815) 395-1415
Mailing address
1639 N ALPINE RD STE 260, ROCKFORD, IL 61107-1481
(630) 912-4241
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036083961
IL
Other
Enumeration date
12/21/2010
Last updated
07/14/2026
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