Organization · Type 2 NPI

Northern Illinois Vein Clinic, LLC

Diagnostic Radiology Physician · Rockford, IL

NPI number 1407824022 Active

Practice location

1340 Charles St, Suite 404
Rockford, IL 61104-2200

Call (815) 316-8346 Map

Mailing address

PO Box 4632
Rockford, IL 61110-4632

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XNone listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

49 other providers at this address

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About NPI 1407824022

Northern Illinois Vein Clinic, LLC's National Provider Identifier is 1407824022, issued on Mar 9, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Rockford, IL. The record was last updated on Dec 5, 2007.