Thinfast Md Rockford

LBN: Thinfast Md Rockford
Thinfast Md Rockford is an health care organization with primary practice located at 461 N Mulford Rd Ste 9 , Rockford IL 61107-5165. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obesity Medicine, which is considered as the primary health care specialty. Thinfast Md Rockford can be contacted via phone (815) 229-1899, or through Ahamed, Jameel via phone (847) 227-0293.

Contact Information

Primary practice address
461 N Mulford Rd Ste 9 Rockford IL 61107-5165
Phone: (815) 229-1899
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ahamed, Jameel
Phone: (847) 227-0293

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obesity Medicine 207QB0002X 209007392 Illinois

Profile Details

NPI number 1366702292
LBN Legal business name Thinfast Md Rockford
DBA Doing business as
Authorized official Ahamed, Jameel
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2012
Last updated Jun 6th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366702292 NPPES
Illinois MEDICAID 036-126253

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