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ROCKFORD RADIATION ONCOLOGY LTD NPI 1831184654


NPI Information

NPI: 1831184654
Provider Name: ROCKFORD RADIATION ONCOLOGY LTD
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

CLIA Number: 14D1007042

Address:
2400 N ROCKTON AVE
DEPT RADIATION ONCOLOGY
ROCKFORD, IL
ZIP 61103
Phone: (815) 971-6188
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ROCKFORD RADIATION ONCOLOGY LTD is a radiation oncology radiology in Rockford, IL. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. ROCKFORD RADIATION ONCOLOGY LTD NPI is 1831184654. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2400 N ROCKTON AVE
DEPT RADIATION ONCOLOGY
ROCKFORD, IL
ZIP 61103-655
Phone: (815) 971-6188
Fax: (815) 968-9677

The provider's authorized official is Karen M Smorowski .
The authorized official title is Corporate President/owner and has the following contact phone number (815) 971-6188.

The CLIA number assigned to this NPI record is 14D1007042 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/19/2005 and was last updated on 8/22/2020.


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
12085R0001XRadiologyRadiation OncologyYes

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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