PHOENIX MEDICAL PRACTICE CORPORATION S C

ROCKFORD, IL
NPI1740553155
Entity TypeOrganization
Authorized ContactJAMES W PHOENIX
President
815-226-8050
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036059274)
Enumeration Date2012-02-15
Last Update Date2012-02-24
Business Address
PHOENIX MEDICAL PRACTICE CORPORATION S C
5727 STRATHMOOR DR
ROCKFORD, IL 61107-5180
Phone number: 815-226-8050
Mailing Address
PHOENIX MEDICAL PRACTICE CORPORATION S C
5727 STRATHMOOR DR
ROCKFORD, IL 61107-5180
Phone number: 815-226-8050
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