Organization
ROCKFORD SPINE CENTER, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE SPIELMAN (OPERATIONS MANAGER)
(815) 316-2100
Entity
Organization
Contact information
Practice address
2902 MCFARLAND RD, SUITE 300, ROCKFORD, IL 61107-6801
(815) 316-2100
(815) 316-2099
Mailing address
2902 MCFARLAND RD, SUITE 300, ROCKFORD, IL 61107-6801
(815) 316-2100
(815) 316-2099
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
042-617984
IL
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
042-617984
IL
208100000X
Physical Medicine & Rehabilitation Physician
042-617984
IL
363AS0400X
Surgical Physician Assistant
042-617984
IL
Other
Enumeration date
08/11/2006
Last updated
08/06/2008
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