NPI 1003218348 · live from the CMS NPI Registry
Board Of Trustees Of The University Of Illinois
Family Medicine in Rockford, IL. National Provider Identifier 1003218348, active.
NPI record
| NPI | 1003218348 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 1601 Parkview Ave, Rockford, IL 61107 |
| Practice phone | 815-395-5637 |
| Enumerated | September 18, 2014 |
| Last updated | April 27, 2016 |
| Authorized official | Uma Sriram, Director Of Fiscal Affairs |
| Other names | University Medical Services At Parkview |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical | 1041C0700X | — |
| Marriage & Family Therapist | 106H00000X | — |
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.