DANIEL PHALIN

ROCKFORD, IL
NPI1356885479
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: IL  085.006018)
Enumeration Date2016-12-08
Last Update Date2016-12-08
Business Address
-- DANIEL PHALIN
5666 E. STATE ST
ROCKFORD, IL 60656
Phone number: 815-226-2000
Mailing Address
-- DANIEL PHALIN
5666 E. STATE ST
ROCKFORD, IL 60656
Phone number: 815-226-2000