Organization
ROCKFORD RADIOLOGY ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES AMBELANG MD (PRESIDENT)
(920) 918-1602
Entity
Organization
Contact information
Practice address
5666 E STATE ST, ROCKFORD, IL 61108
(815) 327-2468
Mailing address
PO BOX 809025, CHICAGO, IL 60680-9025
(866) 421-8808
(855) 344-3003
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
04/27/2006
Last updated
11/18/2025
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