OrganizationActive
Advanced Facial Plastics & Mohs
NPI 1922295328 · MOHS-Micrographic Surgery Physician · Rockford, IL
Provider details
- NPI number
- 1922295328
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Kimberly Macmurchy, Contracting and Credentialing
Practice location
1235 N Mulford Rd
Suite 100
Rockford, IL 61107-3879
Phone: (815) 484-9900
Mailing address
1235 N Mulford Rd
Rockford, IL 61107-3879
Registry dates
- Enumerated
- 2007-09-28
- Last updated
- 2007-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.