SearchIllinois101Y00000X

Laurel Malloy

NPI 1891278123 · on the registry since 2018

Practice

Address
1509 Benton St
Rockford, IL 61107
Phone
(815) 387-5600
Organisation at this address
Rosecrance Inc
Janet Wattles Center
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Sex
Female
Record last updated
2018-09-12

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