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Organization

ROCKFORD GASTROENTEROLOGY ASSOCIATES, LTD.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. NICCOLE RANZ FNP-C (CEO)
(815) 397-7340
Entity
Organization

Contact information

Practice address
401 ROXBURY RD, ROCKFORD, IL 61107-5075
(815) 397-7340
(815) 397-7388
Mailing address
401 ROXBURY RD, ROCKFORD, IL 61107-5078
(815) 397-7340
(815) 397-7388

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
042004145
IL
207RG0100X
Gastroenterology Physician
2085R0202X
Diagnostic Radiology Physician
2085R0204X
Vascular & Interventional Radiology Physician
363L00000X
Nurse Practitioner
363LF0000X
Family Nurse Practitioner
367500000X
Certified Registered Nurse Anesthetist

Other

Enumeration date
05/30/2006
Last updated
12/17/2025
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