SHADI MARINA

ROCKFORD, IL
NPI1972764041
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  FM1299038)
Enumeration Date2008-06-21
Last Update Date2009-09-15
Business Address
-- SHADI MARINA M.D.
1401 E STATE ST
ROCKFORD, IL 61104-2315
Phone number: 815-968-4400
Mailing Address
-- SHADI MARINA M.D.
6526 SPRING BROOK RD APT 306
ROCKFORD, IL 61114-8130
Phone number: 847-708-5156
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