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Contact Information

FIRST ASST OF NORTHERN IL
6785 WEAVER RD
STE D
ROCKFORD, IL61114-8055
 Phone: 920-451-8142
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse First Assistant

163WR0006X
Indicates primary specialty

NPI Profile & details for FIRST ASST OF NORTHERN IL · (Female)

NPI # 1497762009
Status Active
Credentials
Entity Individual
Enumeration date 08/03/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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