Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phoenix Medical Practice Corporation S C

Organization Family Medicine Physician · NPI 1740553155

Phoenix Medical Practice Corporation S C is a Family Medicine Physician in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012

Practice location Address checks out

5727 Strathmoor Dr
Rockford, IL 61107-5180
Phone: (815) 226-8050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036059274 (IL)

Record details

NPI number1740553155
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Phoenix — President · (815) 226-8050
NPI enumeratedFebruary 15, 2012
Last updated in NPPESFebruary 24, 2012
Mailing address5727 Strathmoor Dr, Rockford, IL 61107-5180

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