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General NPI Number Information
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NPI Number | 1699885871
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Entity Type | Individual
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Provider Name | THOMAS J BREFELD MD
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 8201 E RIVERSIDE BLVD
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City | ROCKFORD
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State | IL
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Zip | 61114-2300
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Country | US
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Telephone | 815-971-4066
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Fax |
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Provider Business Mailing Address
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Address Line | 29624 NETWORK PL
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City | CHICAGO
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State | IL
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Zip | 60673-1296
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Country | US
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Telephone | 608-756-6278
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 036104961
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036104961
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License Number State | IL
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