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1780794974
RICHARD B. FELLARS
ROCKFORD, IL
NPI
1780794974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036051851)
Enumeration Date
2006-08-30
Last Update Date
2010-01-18
Business Address
RICHARD B. FELLARS MD
3401 N PERRYVILLE RD
ROCKFORD, IL 61114-8011
Phone number: 815-971-2000
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Mailing Address
RICHARD B. FELLARS MD
3401 N PERRYVILLE RD
ROCKFORD, IL 61114-8011
Phone number: 815-971-2000
Copy
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