Organization
RPS SURGICAL LTD
Active
Other names
Joseph T Fanara DPM
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH T FANARA DPM (OWNER PHYSICIAN)
(815) 332-5222
Entity
Organization
Contact information
Practice address
1617 TEMPLE LN, ROCKFORD, IL 61112-1045
(815) 332-5222
(815) 332-5223
Mailing address
1617 TEMPLE LN, ROCKFORD, IL 61112-1045
(815) 332-5222
(815) 332-5223
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016004607
IL
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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