University Of Wisconsin Medical Foundation in Rockford - Ophthalmology

University Of Wisconsin Medical Foundation - NPI 1225150709

University Of Wisconsin Medical Foundation is a Ophthalmology in Rockford, Illinois. University Of Wisconsin Medical Foundation practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for University Of Wisconsin Medical Foundation is 1225150709. The last update date is 2020-08-22.

University Of Wisconsin Medical Foundation's current location address is 345 Executive Pkwy, Rockford, Illinois. You can contact this provider via phone number 8153991141 and fax number 8153977816. The mailing address for University Of Wisconsin Medical Foundation is 345 Executive Pkwy, Rockford, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization University Of Wisconsin Medical Foundation
Address 345 Executive Pkwy, Rockford, Illinois
Phone Number 8153991141
Fax Number 8153977816
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Grossman Jeffrey
Credentials MD
Telephone Number 8153991141

NPI Number Detail

NPI Number 1225150709
Provider Enumeration Date 2007-04-04
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 345 Executive Pkwy
City Rockford
State Illinois (IL)
Post Code 611075340
Phone Number 8153991141
Fax Number 8153977816

Provider's Primary Taxonomy Detail

Speciality Ophthalmology
Taxonomy 207W00000X
Definition:
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10121807 IL BCBS OF IL GROUP NUMBER

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FAQs about University Of Wisconsin Medical Foundation

What is the unique identifier code issued to University Of Wisconsin Medical Foundation by the Centers for Medicare & Medicaid Services?

The University Of Wisconsin Medical Foundation has been assigned the NPI (National Provider Identifier) 1225150709. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the University Of Wisconsin Medical Foundation's physical address?

The University Of Wisconsin Medical Foundation is physically located at 345 Executive Pkwy, in the city of Rockford, IL, with the postal code 611075340.

What is University Of Wisconsin Medical Foundation's specialized field of practice, and what is the corresponding taxonomy classification code?

The University Of Wisconsin Medical Foundation's area of specialization is Ophthalmology, and the corresponding taxonomy code that categorizes this field of practice is 207W00000X.

On what date did the University Of Wisconsin Medical Foundation receive the assignment of its 1225150709 from the Centers for Medicare & Medicaid Services?

The University Of Wisconsin Medical Foundation was issued its 1225150709 by the Centers for Medicare & Medicaid Services on 2007-04-04.

As of what date were the University Of Wisconsin Medical Foundation's details last updated?

The information pertaining to the University Of Wisconsin Medical Foundation, including its address, specialty, and other details, was most recently updated on 2020-08-22.

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