Affiliated Surgeons Of Rockford Llc in Loves Park - Vascular & Interventional Radiology

Affiliated Surgeons Of Rockford Llc - NPI 1851394696

Affiliated Surgeons Of Rockford Llc is a Vascular & Interventional Radiology in Loves Park, Illinois. Affiliated Surgeons Of Rockford Llc practices all healthcare services and medical treatments related to Vascular & Interventional Radiology. The NPI Number for Affiliated Surgeons Of Rockford Llc is 1851394696. The last update date is 2012-02-17.

Affiliated Surgeons Of Rockford Llc's current location address is Po Box 15730, Loves Park, Illinois. You can contact this provider via phone number 8159643333 and fax number 8159643134. The mailing address for Affiliated Surgeons Of Rockford Llc is Po Box 15730, Loves Park, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Affiliated Surgeons Of Rockford Llc
Address Po Box 15730, Loves Park, Illinois
Phone Number 8159643333
Fax Number 8159643134
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CONTROLLIN
Authorized Official Name Klazura J Paul
Credentials M.D.
Telephone Number 8154896034

NPI Number Detail

NPI Number 1851394696
Provider Enumeration Date 2005-05-24
Last Updated Date 2012-02-17

Provider Mailing Address Detail

Address Po Box 15730
City Loves Park
State Illinois (IL)
Post Code 6113257300
Phone Number 8159643333
Fax Number 8159643134

Provider's Primary Taxonomy Detail

Speciality Vascular & Interventional Radiology
Taxonomy 2085R0204X
Licence No 36104533
Definition:
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
204575400 IL OWCP GROUP NUMBER
10132011 IL BCBS GROUP NUMBER

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FAQs about Affiliated Surgeons Of Rockford Llc

What is the unique 10-digit identifier code issued to Affiliated Surgeons Of Rockford Llc by the Centers for Medicare & Medicaid Services?

The Affiliated Surgeons Of Rockford Llc has been assigned the NPI (National Provider Identifier) 1851394696 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Affiliated Surgeons Of Rockford Llc is physically located?

The Affiliated Surgeons Of Rockford Llc is situated at the following address: Po Box 15730, Loves Park, IL 6113257300.

Could you please share the complete physical location address where Affiliated Surgeons Of Rockford Llc's facilities are situated?

The facilities of Affiliated Surgeons Of Rockford Llc are physically located at the following address: Po Box 15730, Loves Park, IL, 6113257300.

What is Affiliated Surgeons Of Rockford Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Affiliated Surgeons Of Rockford Llc is Vascular & Interventional Radiology, and the corresponding taxonomy classification code for this specialized field is 2085R0204X.

On what date did the Affiliated Surgeons Of Rockford Llc receive the assignment of its 1851394696 from the Centers for Medicare & Medicaid Services?

The Affiliated Surgeons Of Rockford Llc was issued its 1851394696 by the Centers for Medicare & Medicaid Services on 2005-05-24.

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