ROCKFORD PSYCHIATRIC MEDICAL SERVICES SC NPI 1144619750

NPI Information

NPI: 1144619750
Provider Name: ROCKFORD PSYCHIATRIC MEDICAL SERVICES SC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
1639 N ALPINE RD
260
ROCKFORD, IL
ZIP 61107
Phone: (815) 395-1500
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ROCKFORD PSYCHIATRIC MEDICAL SERVICES SC is a psychiatric/mental health nurse practitioner in Rockford, IL. ROCKFORD PSYCHIATRIC MEDICAL SERVICES SC NPI is 1144619750. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1639 N ALPINE RD
260
ROCKFORD, IL
ZIP 61107-449
Phone: (815) 395-1500
Fax: (815) 395-1415

The provider's authorized official is William Giakas .
The authorized official title is President and has the following contact phone number (815) 395-1500.

The enumeration date for this NPI number is 1/20/2015 and was last updated on 1/20/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	209012268	ILLINOIS	Yes

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: 11/14/2023

NPI Synchronization or Removal

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