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Contact Information

LAURA SINADA BOTTROS, MD
2400 N ROCKTON AVE
ROCKFORD, IL61103-3655
 Phone: 815-971-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology

207ZH0000X 22 Physician/Pathology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for LAURA SINADA BOTTROS · (Female)

NPI Number 1962799403
Status Active
Credentials MD
Entity Individual
Enumeration date 07/05/2011
Last updated 04/01/2026 - About 2 months ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036148234
  • WI License # 74638-20
  • WI Medicaid 1962799403
  • IL Other 036148234 STATE LICENSE
Hospital affiliation(s)
  • ROCKFORD MEMORIAL HOSPITAL - (Acute Care)
    2400 NORTH ROCKTON AVENUE
    ROCKFORD, IL 61103
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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