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1710049234
EDGEBROOK DERMATOLOGY, PC.
ROCKFORD, IL
NPI
1710049234
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Entity Type
Organization
Authorized Contact
MARIA ALBASHA
President
815-229-9333
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2006-12-14
Last Update Date
2020-08-22
Business Address
EDGEBROOK DERMATOLOGY, PC.
1639 N ALPINE RD
ROCKFORD, IL 61107-1449
Phone number: 815-229-9333
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Mailing Address
EDGEBROOK DERMATOLOGY, PC.
PO BOX 1686
ROCKFORD, IL 61110-0186
Phone number:
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