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1407824022
NORTHERN ILLINOIS VEIN CLINIC, LLC
ROCKFORD, IL
NPI
1407824022
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Entity Type
Organization
Authorized Contact
EDWARD STEFFEN
Md
815-316-8346
Organization Subpart ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
Enumeration Date
2006-03-09
Last Update Date
2007-12-05
Business Address
NORTHERN ILLINOIS VEIN CLINIC, LLC
1340 CHARLES ST SUITE 404
ROCKFORD, IL 61104-2200
Phone number: 815-316-8346
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Mailing Address
NORTHERN ILLINOIS VEIN CLINIC, LLC
PO BOX 4632
ROCKFORD, IL 61110-4632
Phone number: 815-391-7285
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