TIMEA MAXIM

ROCKFORD, IL
NPI1477031219
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: IL  125-072829)
Enumeration Date2018-08-03
Last Update Date2018-08-03
Business Address
TIMEA MAXIM MD
1221 E STATE ST
ROCKFORD, IL 61104-2231
Phone number: 815-972-1000
Mailing Address
TIMEA MAXIM MD
1221 E STATE ST
ROCKFORD, IL 61104-2231
Phone number: 815-972-1000
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