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1538307228
LTC MEDICAL INC
ROCKFORD, IL
NPI
1538307228
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Entity Type
Organization
Authorized Contact
JOSEPH JOHN ECKBURG
Officer
815-289-7098
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2009-02-03
Last Update Date
2009-06-24
Business Address
LTC MEDICAL INC
5911 NEBESHONE LN
ROCKFORD, IL 61103-8926
Phone number: 815-633-8099
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Mailing Address
LTC MEDICAL INC
5911 NEBESHONE LN
ROCKFORD, IL 61103-8926
Phone number: 815-633-8099
Copy
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