Organization
ROCKFORD REHABILITATION MEDICINE, SC
Active
Organization
ROCKFORD REHABILITATION MEDICINE, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER PARK MD (MD)
(815) 965-9712
Entity
Organization
Contact information
Practice address
2825 GLENWOOD AVE, ROCKFORD, IL 61101-3542
(815) 965-9712
Mailing address
2825 GLENWOOD AVE, ROCKFORD, IL 61101-3542
(815) 965-9712
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
04/27/2006
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up