Organization · Type 2 NPI
South Beloit Office
General Practice Physician · South Beloit, IL
NPI number
1679839773
Active
Practice location
1407 Pate Plaza Dr
South Beloit, IL 61080-1431
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 036126253 (IL) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
2 other providers at this address
About NPI 1679839773
South Beloit Office's National Provider Identifier is 1679839773, issued on Apr 3, 2012. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in South Beloit, IL. The record was last updated on Apr 3, 2012.