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Contact Information

ROCKFORD PEDIATRIC PULMONOLOGY, LTD.
7144 KLECKNER RD
ROCKFORD, IL61107-6821
 Phone: 815-636-7111
 Fax: 815-639-3526
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Pulmonology

2080P0214X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ROCKFORD PEDIATRIC PULMONOLOGY, LTD.

NPI Number 1881879088
LBN Legal business name ROCKFORD PEDIATRIC PULMONOLOGY, LTD.
Authorized official DAVID SHOBERG - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 01/07/2008
Last updated 01/07/2008 - About 18 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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