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Organization

KBCLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KARIN ANNIKA BLUMOFE MD (GENERAL SURGEON)
(815) 227-2274
Entity
Organization

Contact information

Practice address
5666 EAST STATE STREET, AMBULATORY SURGERY CENTER/ DR BLUMOFE, ROCKFORD, IL 61108-2425
(815) 227-2274
Mailing address
6838 N KILPATRICK AVE, LINCOLNWOOD, IL 60712-2437
(847) 763-9241

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036093795
IL

Other

Enumeration date
02/11/2009
Last updated
02/11/2009
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