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1225198674
LEROY P BACH
ROCKFORD, IL
NPI
1225198674
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036040550)
Enumeration Date
2006-12-08
Last Update Date
2008-09-24
Business Address
-- LEROY P BACH MD
1415 E STATE ST
ROCKFORD, IL 61104-2333
Phone number: 815-489-9508
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Mailing Address
-- LEROY P BACH MD
PO BOX 1567
ROCKFORD, IL 61110-0067
Phone number:
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