# ORTHOMIDWEST, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rockford Orthopedic Associates, LTD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730136474
- **Authorized official:** MRS. LESLIE A ELMER (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (815) 381-7431

## Contact information

- **Practice address:** 324 ROXBURY RD, ROCKFORD, IL 61107-5090
- **Practice address phone:** (815) 398-9491
- **Practice address fax:** (815) 381-7498
- **Mailing address:** PO BOX 735263, CHICAGO, IL 60673-5263
- **Mailing address phone:** (815) 398-9491
- **Mailing address fax:** (815) 381-7489

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RR0500X | Rheumatology Physician | — | NULL | — |
| 207RR0500X | Rheumatology Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | NULL | — |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | — | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | NULL | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | — | — |
| 207XX0801X | Orthopaedic Trauma Physician | — | NULL | — |
| 207XX0801X | Orthopaedic Trauma Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 2251X0800X | Orthopedic Physical Therapist | — | NULL | — |
| 2251X0800X | Orthopedic Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 05/28/2006
- **Last updated:** 01/16/2023