Organization
ORTHOMIDWEST, PLLC
Active
Parent organization
ORTHOILLINOIS
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHOILLINOIS
Authorized official
LESLIE ELMER CPCS (MANGAER, CREDENTIALING AND RISK)
(815) 381-7431
Entity
Organization
Contact information
Practice address
324 ROXBURY ROAD, ROCKFORD, IL 61107-5090
(815) 398-9491
(815) 381-7498
Mailing address
PO BOX 735263, CHICAGO, IL 60673-5263
(815) 398-9491
(815) 381-7498
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
225100000X
Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/16/2006
Last updated
07/10/2026
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