MARGARET PROVENZA

Otolaryngology

Active Individual
NPI: 1457378283

Practice Address

1253 N ALPINE RD
Rockford, IL 61107

Phone: (779) 696-9201

Specialties

Specialty Code Primary License
Otolaryngology 207Y00000X Yes 036072887 (IL)

Frequently Asked Questions

NPI 1457378283 is the National Provider Identifier for MARGARET PROVENZA, a Otolaryngology provider located in Rockford, IL. This NPI was enumerated on July 17, 2006.
MARGARET PROVENZA practices at 1253 N ALPINE RD, Rockford, IL 61107.

Quick Facts

NPI
1457378283
Type
Individual
Enumerated
Jul 17, 2006
Last Updated
Feb 19, 2021

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