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Organization
ROCKFORD ORTHOPEDIC ASSOCIATES, LTD. DBA ORTHOILLINOIS ANESTHESIA
Active
Organization
ROCKFORD ORTHOPEDIC ASSOCIATES, LTD. DBA ORTHOILLINOIS ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE ELMER (MANAGER, CREDENTIALING AND RISK MAN)
(815) 381-7431
Entity
Organization
Contact information
Practice address
5875 E RIVERSIDE BLVD, ROCKFORD, IL 61114-4937
(815) 381-7431
Mailing address
6785 WEAVER RD STE D, ROCKFORD, IL 61114-8055
(800) 690-7792
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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