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Contact Information

AFFILIATED SURGEONS OF ROCKFORD LLC
2300 N ROCKTON AVE
STE 304
ROCKFORD, IL61103-3619
 Phone: 815-964-3333
 Fax: 815-964-3134
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Colon & Rectal Surgery

208C00000X 02 Physician/General Surgery
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
 

Surgical

363AS0400X 97 Physician Assistant
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for AFFILIATED SURGEONS OF ROCKFORD LLC · (Female)

NPI Number 1851394696
Status Active
Credentials
Entity Individual
Enumeration date 05/24/2005
Last updated 02/17/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 036048085
  • IL License # 036062833
  • IL License # 036063647
  • IL License # 036064323
  • IL License # 036064410
  • IL License # 036067268
  • IL License # 036071666
  • IL License # 036101179
  • IL License # 036104533
  • IL License # 085002211
  • IL License # 209004303
  • IL Other 10132011 BCBS GROUP NUMBER
  • IL Other 204575400 OWCP GROUP NUMBER
Hospital affiliation(s) Not Available
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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