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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

Other

Enumeration date
07/26/2018
Last updated
07/26/2018
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