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1104812023
MARK T SHIELS
ROCKFORD, IL
NPI
1104812023
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: IL 36072619)
Enumeration Date
2005-09-26
Last Update Date
2007-09-06
Business Address
-- MARK T SHIELS M.D.
401 ROXBURY RD
ROCKFORD, IL 61107-5075
Phone number: 815-397-7340
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Mailing Address
-- MARK T SHIELS M.D.
401 ROXBURY RD
ROCKFORD, IL 61107-5075
Phone number: 815-397-7340
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