OrganizationActive
The Bridge Clinic of Rockofrd
NPI 1154798916 · Voluntary or Charitable Agency · Rockford, IL
Provider details
- NPI number
- 1154798916
- Entity type
- Organization
- Primary specialty
- Voluntary or Charitable AgencyAgencies
- Organization subpart
- No
- Authorized official
- Annette Olin, Medical Director(815) 494-1594
Specialties & taxonomies
Agencies
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Practice location
318 N Church St
Rockford, IL 61101-1006
Phone: (815) 494-1594
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 16024
Loves Park, IL 61132-6024
Registry dates
- Enumerated
- 2015-08-27
- Last updated
- 2015-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.