John J. Bottros in Rockford - Adult Reconstructive Orthopaedic Surgery

John J. Bottros - NPI 1467635524

John J. Bottros is a Adult Reconstructive Orthopaedic Surgery in Rockford, Illinois. John J. Bottros practices all healthcare services and medical treatments related to Adult Reconstructive Orthopaedic Surgery. The NPI Number for John J. Bottros is 1467635524. The last update date is 2023-08-03.

John J. Bottros's current location address is 5875 E Riverside Blvd, Rockford, Illinois. You can contact this provider via phone number 8153989491 and fax number 8153817498. The mailing address for John J. Bottros is 5875 E Riverside Blvd, Rockford, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name John J. Bottros
Address 5875 E Riverside Blvd, Rockford, Illinois
Phone Number 8153989491
Fax Number 8153817498
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1467635524
Provider Enumeration Date 2007-12-12
Last Updated Date 2023-08-03

Provider Mailing Address Detail

Address 5875 E Riverside Blvd
City Rockford
State Illinois (IL)
Post Code 611144937
Phone Number 8153989491
Fax Number 8153817498

Provider's Primary Taxonomy Detail

Speciality Adult Reconstructive Orthopaedic Surgery
Taxonomy 207Xs0114X
Licence No 36128556
Definition:
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthrosc

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36128556 IL --

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FAQs about John J. Bottros

What is the unique 10-digit identification code assigned to John J. Bottros by the Centers for Medicare & Medicaid Services?

The John J. Bottros has been issued the NPI (National Provider Identifier) 1467635524, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where John J. Bottros is located?

The John J. Bottros is situated at the following address: 5875 E Riverside Blvd, Rockford, IL, 611144937.

What is the John J. Bottros's specialty and taxonomy code?

The John J. Bottros's specialty is Adult Reconstructive Orthopaedic Surgery, and the corresponding taxonomy code is 207Xs0114X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1467635524 to John J. Bottros?

The Centers for Medicare & Medicaid Services originally issued the 1467635524 to John J. Bottros on 2007-12-12.

When was the information regarding John J. Bottros most recently updated?

The details pertaining to the John J. Bottros, including its address, specialty, and other relevant information, were last refreshed on 2023-08-03.

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