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

TINA R. ENTWISTLE, D.P.M., P.C.

Active Organization

TINA R. ENTWISTLE, D.P.M., P.C. is a Foot & Ankle Surgery Podiatrist organization located in ROCKFORD, Illinois. NPI 1740463678 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery Podiatrist · ROCKFORD, IL

Registration Details

NPI Number
1740463678
Provider Type
Organization
NPI Issued
Dec 13, 2007 (18.485910564895 yrs)
Last Updated
Jan 11, 2011
License
016-005194 (IL)

Practice Information

Address
6778 MILL RD
SUITE 100
ROCKFORD, IL, 611082502
Browse IL providers · Browse ZIP 61108
Phone
8152270041
Primary Specialty
Foot & Ankle Surgery Podiatrist
213ES0103X

Other Foot & Ankle Surgery Podiatrist Organizations in ROCKFORD, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.