Saint Anthony Medical Center
Allergy & Immunology in Rockford, IL. Organization (NPI-2).
NPI number1699968263
StatusActive
Last updated in NPPESMar 7, 2024
Details
- NPI
- 1699968263
- Entity type
- Organization (NPI-2)
- Legal business name
- Saint Anthony Medical Center
- Organization subpart
- Yes
- Enumeration date
- Aug 27, 2007
- Certification date
- Mar 7, 2024
- Last updated
- Mar 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207K00000X | Allergy & Immunology | – | – | Yes |
| 207N00000X | Dermatology | – | – | |
| 207P00000X | Emergency Medicine | – | – | |
| 207Y00000X | Otolaryngology | – | – | |
| 208200000X | Plastic Surgery | – | – | |
| 231H00000X | Audiologist | – | – | |
| 363A00000X | Physician Assistant | – | – |
Other names
- Osf Specialty Clinic Guilford Square (Doing Business As)
Practice location
698 Featherstone RdRockford, IL 61107-6303
Phone 815-398-3277
Mailing address
124 Sw Adams StPeoria, IL 61602-1308
Phone 309-655-2850 · Fax 309-655-4878
Authorized official
Robert C Sehring
Ceo
3096552850
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