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Contact Information

PAUL R BATTY, MD
1340 CHARLES ST STE 100
ROCKFORD, IL61104-2200
 Phone: 779-696-8700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PAUL R BATTY · (Male)

NPI # 1619972643
Status Active
Credentials MD
Entity Individual
Enumeration date 06/16/2005
Last updated 03/11/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036082625
  • IL Medicaid 036082625
  • IL Other 206147 MEDICARE GROUP PTAN
  • IL Other F400165384 MEDICARE INDIVIDUAL PTAN
  • IL Other P01398548 MEDICARE RAILROAD
  • IL Other CA4748 MEDICARE RAILROAD GROUP PTAN
Hospital affiliation(s)
  • SWEDISH AMERICAN HOSPITAL - (Acute Care)
    1401 EAST STATE STREET
    ROCKFORD, IL 61104
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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