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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

NPI Number 1851394696
LBN Legal business name AFFILIATED SURGEONS OF ROCKFORD LLC
Authorized official PAUL KLAZURA - (CONTROLLING PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/24/2005
Last updated 02/17/2012 - About 14 years ago
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
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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