Organization
ROCKFORD NEUROMONITORING GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN EDWARD DRAGOS III R. EP T, CNIM (MANAGING MEMBER)
(815) 408-0519
Entity
Organization
Contact information
Practice address
1036 LUNDVALL AVE, ROCKFORD, IL 61107-3338
(815) 408-0519
(815) 977-5149
Mailing address
1036 LUNDVALL AVE, ROCKFORD, IL 61107-3338
(815) 408-0519
(815) 977-5149
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
10/27/2010
Last updated
11/08/2010
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