Dr. Joseph Patrick Garry
Family Doctor - Sports Medicine
1221 E State St
Rockford
, Illinois 61104-2231
Dr. Joseph Patrick Garry
Family Doctor - Sports Medicine
1221 E State St
Rockford
, Illinois 61104-2231
(815) 395-5575
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Joseph Patrick Garry
- 1601 Parkview Ave
- Rockford, IL
- Zip : 61107-1822
- Fax : (815) 395-5575
- Phone : (815) 395-5861
Second Address
- Dr. Joseph Patrick Garry
- 1221 E State St
- Rockford, IL
- Zip : 61104-2231
- Fax : (815) 972-1086
- Phone : (815) 972-1000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | 036151881 | IL |
| N | 207QS0010X | Family Doctor - Sports Medicine | 52444 | MN |
| N | 207QS0010X | Family Doctor - Sports Medicine | 9701754 | NC |
National Provider Identifier
| NPI | 1306838255 |
|---|---|
| Provider Name | Dr. Joseph Patrick Garry |
| First Address | Rockford, IL 61107-1822 |
| Second Address | Rockford, IL 61104-2231 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/08/2005 |
| Last Update Date | 31/03/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1093M | BCBS NC (01) | NC |
| 80117751 | RAILROAD MEDICARE (01) | NC |
| 891093M | (05) | NC |
| G20988 | (02) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.