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AFFILIATED SURGEONS OF ROCKFORD LLC NPI 1851394696


NPI Information

NPI: 1851394696
Provider Name: AFFILIATED SURGEONS OF ROCKFORD LLC
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
2300 N ROCKTON AVE
STE 304
ROCKFORD, IL
ZIP 61103
Phone: (815) 964-3333
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AFFILIATED SURGEONS OF ROCKFORD LLC is a surgery in Rockford, IL. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. AFFILIATED SURGEONS OF ROCKFORD LLC NPI is 1851394696. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2300 N ROCKTON AVE
STE 304
ROCKFORD, IL
ZIP 61103-619
Phone: (815) 964-3333
Fax: (815) 964-3134

The provider's authorized official is Paul J Klazura .
The authorized official title is Controlling Partner and has the following contact phone number (815) 489-6034.

The enumeration date for this NPI number is 5/24/2005 and was last updated on 2/17/2012.


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
12086S0129XSurgeryVascular Surgery036063647ILLINOISNo
2208C00000XColon & Rectal Surgery036064410ILLINOISNo
3208600000XSurgery036048085ILLINOISNo
42086S0129XSurgeryVascular Surgery036101179ILLINOISNo
52086S0129XSurgeryVascular Surgery036067268ILLINOISNo
6208600000XSurgery036064323ILLINOISNo
7363AS0400XPhysician AssistantSurgical085002211ILLINOISNo
8363L00000XNurse Practitioner209004303ILLINOISNo
92086S0122XSurgeryPlastic and Reconstructive Surgery036071666ILLINOISNo
102085R0204XRadiologyVascular & Interventional Radiology036104533ILLINOISNo
11208600000XSurgery036062833ILLINOISYes

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
1204575400OTHERILLINOISOWCP GROUP NUMBER
2200457MEDICARE PINILLINOIS
3CJ5921MEDICARE PINILLINOIS
410132011OTHERILLINOISBCBS GROUP NUMBER

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

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