Organization
FS ROCKFORD, INC
Active
Other names
Foot Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
JON OPPERMAN (PRESIDENT/OWNER)
(815) 282-3500
Entity
Organization
Contact information
Practice address
6461 E RIVERSIDE BLVD, STE 105, ROCKFORD, IL 61114-4421
(815) 282-3500
Mailing address
6461 E RIVERSIDE BLVD, STE 105, ROCKFORD, IL 61114-4421
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4805760001
DMERC
IL
Enumeration date
06/29/2006
Last updated
07/21/2022
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