Individual provider · Type 1 NPI

Margaret Provenza

Otolaryngology Physician · Rockford, IL

NPI number 1457378283 Active

Practice location

1253 N Alpine Rd
Rockford, IL 61107

Call (779) 696-9201 Map

Mailing address

PO Box 78866
Milwaukee, WI 53278-8866

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician Primary 207Y00000X036072887 (IL)

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1457378283

Margaret Provenza's National Provider Identifier is 1457378283, issued on Jul 17, 2006. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Rockford, IL. The record was last updated on Feb 19, 2021.