# ROCKFORD ORTHOPEDIC ASSOCIATES, LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871608711
- **Authorized official:** LESLIE ELMER (MANAGER, CREDENTIALING AND RISK MAN)
- **Authorized official phone:** (815) 381-7431

## Contact information

- **Practice address:** 1435 N RANDALL RD, SUITE 103, ELGIN, IL 60123
- **Practice address phone:** (847) 888-0750
- **Practice address fax:** (847) 888-2152
- **Mailing address:** PO BOX 735263, CHICAGO, IL 60673-5263
- **Mailing address phone:** (847) 888-0750
- **Mailing address fax:** (847) 888-2152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 060-012290 | IL | Yes |

## Other

- **Enumeration date:** 08/20/2006
- **Last updated:** 04/19/2024