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1740553155
PHOENIX MEDICAL PRACTICE CORPORATION S C
ROCKFORD, IL
NPI
1740553155
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Entity Type
Organization
Authorized Contact
JAMES W PHOENIX
President
815-226-8050
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036059274)
Enumeration Date
2012-02-15
Last Update Date
2012-02-24
Business Address
PHOENIX MEDICAL PRACTICE CORPORATION S C
5727 STRATHMOOR DR
ROCKFORD, IL 61107-5180
Phone number: 815-226-8050
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Mailing Address
PHOENIX MEDICAL PRACTICE CORPORATION S C
5727 STRATHMOOR DR
ROCKFORD, IL 61107-5180
Phone number: 815-226-8050
Copy
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