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Contact Information

PORTABLE MEDICAL RESOURCES LTD
129 PHELPS AVE
SUITE 406
ROCKFORD, IL61108-2453
 Phone: 815-397-5554
 Fax: 815-550-0061
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Specialist

246XC2903X
 

Radiologic Technologist

247100000X
Indicates primary specialty

NPI Profile & details for PORTABLE MEDICAL RESOURCES LTD · (Female)

NPI # 1619368834
Status Active
Credentials
Entity Individual
Enumeration date 02/10/2015
Last updated 02/10/2015 - About 11 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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