Organization
ROCKFORD ORTHOPEDIC ASSOCIATES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA BOURGORD CPCS, CPMSM (MANAGER, MEDICAL STAFF SERVICES)
(815) 381-7339
Entity
Organization
Contact information
Practice address
5875 E RIVERSIDE BLVD, ROCKFORD, IL 61114-4937
(815) 381-7339
(815) 381-7333
Mailing address
PO BOX 735263, CHICAGO, IL 60673-5263
(815) 381-7339
(815) 381-7333
Taxonomy
Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
—
—
Other
Enumeration date
08/16/2013
Last updated
04/19/2024
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