Rockford Orthopedic Associates, Ltd.
Radiologic Technologist, Magnetic Resonance Imaging in Rockford, IL. Organization (NPI-2).
NPI number1871926568
StatusActive
Last updated in NPPESApr 19, 2024
Details
- NPI
- 1871926568
- Entity type
- Organization (NPI-2)
- Legal business name
- Rockford Orthopedic Associates, Ltd.
- Organization subpart
- No
- Enumeration date
- Aug 16, 2013
- Certification date
- Apr 19, 2024
- Last updated
- Apr 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2471M1202X | Radiologic Technologist, Magnetic Resonance Imaging | – | – | Yes |
Practice location
5875 E Riverside BlvdRockford, IL 61114-4937
Phone 815-381-7339 · Fax 815-381-7333
Mailing address
Po Box 735263Chicago, IL 60673-5263
Phone 815-381-7339 · Fax 815-381-7333
Authorized official
Melissa Bourgord
Manager, Medical Staff Services
8153817339
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