Margaret Provenza
Margaret Provenza is an Otolaryngology Physician in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
Practice location Address checks out
1253 N Alpine RdRockford, IL 61107
Phone: (779) 696-9201
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Specialties & licences
| Otolaryngology Physician (primary) | Taxonomy 207Y00000X · Licence 036072887 (IL) |
|---|
Record details
| NPI number | 1457378283 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 17, 2006 |
| Last updated in NPPES | February 19, 2021 |
| Certification date | February 19, 2021 |
| Mailing address | Po Box 78866, Milwaukee, WI 53278-8866 |
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