Affiliated Surgeons Of Rockford Llc in Loves Park - Vascular Surgery
Affiliated Surgeons Of Rockford Llc - NPI 1851394696
Affiliated Surgeons Of Rockford Llc is a Vascular Surgery in Loves Park, Illinois. Affiliated Surgeons Of Rockford Llc practices all healthcare services and medical treatments related to Vascular Surgery. 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 |
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Address | Po Box 15730, Loves Park, Illinois |
Phone Number | 8159643333 |
Fax Number | 8159643134 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CONTROLLIN |
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Authorized Official Name | Klazura J Paul |
Credentials | M.D. |
Telephone Number | 8154896034 |
NPI Number Detail
NPI Number | 1851394696 |
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Provider Enumeration Date | 2005-05-24 |
Last Updated Date | 2012-02-17 |
Provider Mailing Address Detail
Address | Po Box 15730 |
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City | Loves Park |
State | Illinois (IL) |
Post Code | 6113257300 |
Phone Number | 8159643333 |
Fax Number | 8159643134 |
Provider's Primary Taxonomy Detail
Speciality | Vascular Surgery |
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Taxonomy | 2086S0129X |
Licence No | 36063647 |
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
204575400 | IL | OWCP GROUP NUMBER | |
10132011 | IL | BCBS GROUP NUMBER |
Post Comment/ Review Below
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 Surgery, and the corresponding taxonomy classification code for this specialized field is 2086S0129X.
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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