Provider Demographics
NPI:1407079197
Name:NETWORK MEDICAL REVIEW COMPANY LTD
Entity Type:Organization
Organization Name:NETWORK MEDICAL REVIEW COMPANY LTD
Other - Org Name:ELITE PHYSICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:PORTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:815-964-6334
Mailing Address - Street 1:605 FULTON AVE
Mailing Address - Street 2:SUITE 2002
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61103-4179
Mailing Address - Country:US
Mailing Address - Phone:815-964-6334
Mailing Address - Fax:815-964-1162
Practice Address - Street 1:605 FULTON AVE
Practice Address - Street 2:SUITE 2002
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61103-4179
Practice Address - Country:US
Practice Address - Phone:815-964-6334
Practice Address - Fax:815-964-1162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management