DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. ANN AGUSTSSON MATHERS D.O.

MEDICARE: DR. ANN AGUSTSSON MATHERS D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist036039266IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1036039266OTHERILSTATE MEDICAL LICENSE

General Provider Information

NPI Number : 1417912411
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANN AGUSTSSON MATHERS D.O.
Provider Business Mailing Address
First Line : 1601 PARKVIEW AVE
Second Line :
City : ROCKFORD
State : IL
Zip : 61107-1822
Country : US
Telephone Number : 815-395-5870
Fax Number : 815-395-5750
Provider Business Practice Location Address
First Line : 1601 PARKVIEW AVE
Second Line :
City : ROCKFORD
State : IL
Zip : 61107-1822
Country : US
Telephone Number : 815-395-5870
Fax Number : 815-395-5750
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2006
Last Update Date : 03/07/2023

Similar Medicare Providers

1548106602 — ANDREW MADUAKOR
Practice Location Address:
1601 PARKVIEW AVE
ROCKFORD, IL
61107-1822
Practice Phone: 815-395-0600
Practice Fax:
1639153588 — MS. CONSTANCE MILLER GARRY LCPC
Practice Location Address:
1601 PARKVIEW AVE , UNIVERSITY PSYCHIATRIC SERVICES
ROCKFORD, IL
61107-1822
Practice Phone: 815-395-5870
Practice Fax: 815-395-5750
1154306389 — DR. STEVEN KOURIS DO
Practice Location Address:
1601 PARKVIEW AVE , UNIVERSITY PSYCHIATRIC SERVICES
ROCKFORD, IL
61107-1822
Practice Phone: 815-395-5870
Practice Fax: 815-395-5644
1568447795 — DR. KAMAL MODIR MD
Practice Location Address:
1601 PARKVIEW AVE , UNIVERSITY PSYCHIATRIC SERVICES
ROCKFORD, IL
61107-1822
Practice Phone: 815-395-5870
Practice Fax: 815-395-5644
1861479537 — MRS. JANNA K BECHERER LCPC
Practice Location Address:
1601 PARKVIEW AVE , UNIVERSITY PSYCHIATRIC SERVICES
ROCKFORD, IL
61107-1822
Practice Phone: 815-395-5874
Practice Fax: 815-395-5644
1013994789 — MISS MARCY L TUREK LCSW
Practice Location Address:
1601 PARKVIEW AVE , UNIVERSITY PSYCHIATRIC SERVICES
ROCKFORD, IL
61107-1822
Practice Phone: 815-395-5874
Practice Fax: 815-395-5644

Directions to “ DR. ANN AGUSTSSON MATHERS D.O.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.