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ROCKFORD SPINE CENTER LTD NPI 1124039391


NPI Information

NPI: 1124039391
Provider Name: ROCKFORD SPINE CENTER, LTD
Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Organization

Specialization: Orthopaedic Surgery of the Spine

Address:
2902 MCFARLAND RD
SUITE 300
ROCKFORD, IL
ZIP 61107
Phone: (815) 316-2100
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ROCKFORD SPINE CENTER, LTD is an orthopaedic surgery of the spine orthopaedic surgery in Rockford, IL. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. ROCKFORD SPINE CENTER, LTD NPI is 1124039391. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2902 MCFARLAND RD
SUITE 300
ROCKFORD, IL
ZIP 61107-801
Phone: (815) 316-2100
Fax: (815) 316-2099

The provider's authorized official is Jacqueline Spielman .
The authorized official title is Operations Manager and has the following contact phone number (815) 316-2100.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 8/6/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic Surgery042-617984ILLINOISNo
2208100000XPhysical Medicine & Rehabilitation042-617984ILLINOISNo
3363AS0400XPhysician AssistantSurgical042-617984ILLINOISNo
4207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine042-617984ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14862350001MEDICARE NSCILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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