Individual provider · Type 1 NPI

Philip Carlson-Dexter, MD

Family Medicine Physician · Rockford, IL

NPI number 1053847186 Active

Practice location

2909 N Main St
Rockford, IL 61103-3100

Call (779) 696-5000 Map

Mailing address

PO Box 78866
Milwaukee, WI 53278-8866

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000X125-070084 (IL)
Family Medicine Physician Primary 207Q00000X036151529 (IL)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1053847186

Philip Carlson-Dexter, MD's National Provider Identifier is 1053847186, issued on May 10, 2017. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Rockford, IL. The record was last updated on Mar 15, 2021.