Eric D Bullock, M.D.
Hospitalist in Rockford, IL. Individual provider (NPI-1).
NPI number1417067695
StatusActive
Last updated in NPPESDec 22, 2009
Details
- NPI
- 1417067695
- Entity type
- Individual (NPI-1)
- Name
- Eric D Bullock
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2006
- Last updated
- Dec 22, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 036-104034 | IL | Yes |
Practice location
2400 N Rockton AveRockford, IL 61103-3655
Phone 815-971-5000
Mailing address
2400 N. Rockton AveRockford, IL 61103-3655
Phone 815-971-5000
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