SearchIllinois237700000X

Anthony Pro

NPI 1639415037 · on the registry since 2012

Practice

Address
5910 E State St
Rockford, IL 61108
Phone
(815) 397-4327
Fax
(815) 397-4341
Clinicians at this address
5

Registry record

Primary taxonomy
237700000X
237700000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-12-13

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