Organization
ROCKFORD ORTHOPEDIC ASSOCIATES, LTD.
Active
Parent organization
ROCKFORD ORTHOPEDIC ASSOCIATES LTD
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROCKFORD ORTHOPEDIC ASSOCIATES LTD
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 78534, MILWAUKEE, WI 53278-8534
(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
09/11/2019
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