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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PHILIP CARLSON-DEXTER, MD

Active

PHILIP CARLSON-DEXTER, MD is a Family Medicine healthcare provider located in ROCKFORD, Illinois. NPI 1053847186 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · ROCKFORD, IL

Registration Details

NPI Number
1053847186
Provider Type
Individual
Gender
Male
NPI Issued
May 10, 2017 (9.2634346218731 yrs)
Last Updated
Mar 15, 2021
Licenses
125-070084 (IL)
036151529 (IL)

Practice Information

Address
2909 N MAIN ST
ROCKFORD, IL, 611033100
Browse IL providers · Browse ZIP 61103
Phone
7796965000
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in ROCKFORD, IL

Name Credential NPI
DR. DIANA ELIZABETH ALANIS MD 1922007418
DR. MITCHELL S KING MD 1225038276
DR. THOMAS M SCHILLER MD 1104827641
DR. MICHAEL JAMES POLIZZOTTO M.D. 1871595371
SYED M MOHIUDDIN MD 1144216243
DR. STEVEN D DIAMOND MD 1861481244
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.