Organization
AEGIS GROUP PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY LAMB (CREDENTIALING)
(479) 201-6037
Entity
Organization
Contact information
Practice address
3470 N ALPINE RD, ROCKFORD, IL 61114-4802
(815) 877-1441
Mailing address
4933 OLD GREENWOOD RD, FORT SMITH, AR 72903-6906
(479) 201-6037
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/30/2025
Last updated
02/23/2026
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