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Margaret Provenza
NPI 1457378283 · on the registry since 2006
Practice
- Address
- 1253 N Alpine Rd
Rockford, IL 61107 - Phone
- (779) 696-9201
- Organisation at this address
- Swedishamerican Hospital
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 25
Registry record
- Primary taxonomy
- 207Y00000X
207Y00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-02-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois