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1699700229
INNOVAMED INTERNAL MEDICINE SPECIALISTS SC
ROCKFORD, IL
NPI
1699700229
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Entity Type
Organization
Authorized Contact
TRACY C BRITO
President
815-987-1802
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2006-07-12
Last Update Date
2020-08-22
Business Address
INNOVAMED INTERNAL MEDICINE SPECIALISTS SC
2601 N MAIN ST
ROCKFORD, IL 61103-3110
Phone number: 815-987-1802
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Mailing Address
INNOVAMED INTERNAL MEDICINE SPECIALISTS SC
2601 N MAIN ST
ROCKFORD, IL 61103-3110
Phone number: 815-987-1802
Copy
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