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1972764041
SHADI MARINA
ROCKFORD, IL
NPI
1972764041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL FM1299038)
Enumeration Date
2008-06-21
Last Update Date
2009-09-15
Business Address
-- SHADI MARINA M.D.
1401 E STATE ST
ROCKFORD, IL 61104-2315
Phone number: 815-968-4400
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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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