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Organization
ROCKFORD ORTHOPEDIC ASSOCIATES, LTD.
Active
Organization
ROCKFORD ORTHOPEDIC ASSOCIATES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA BOURGORD CPCS, CPMSM (MANAGER, MEDICAL STAFF SERVICES)
(815) 381-7339
Entity
Organization
Contact information
Practice address
5875 E RIVERSIDE BLVD, ROCKFORD, IL 61114-4937
(815) 381-7339
(815) 381-7333
Mailing address
PO BOX 735263, CHICAGO, IL 60673-5263
(815) 381-7339
(815) 381-7333
Taxonomy
Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
—
NULL
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
—
—
Other
Enumeration date
08/16/2013
Last updated
04/19/2024
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