Dr. Frederick William Church, M.D.
Surgery in Rockford, IL. Individual provider (NPI-1).
NPI number1871585034
StatusActive
Last updated in NPPESApr 12, 2013
Details
- NPI
- 1871585034
- Entity type
- Individual (NPI-1)
- Name
- Dr. Frederick William Church
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2005
- Last updated
- Apr 12, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 036044472 | IL | Yes |
Practice location
7180 Spring Brook RdSuite B
Rockford, IL 61114-6700
Phone 815-971-2299 · Fax 815-971-9749
Mailing address
7180 Spring Brook RdSuite B
Rockford, IL 61114-6700
Phone 815-971-2299 · Fax 815-971-9749
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