Rockford Orthopedic Associates, Ltd. DBA Orthoillinois Anesthesia

NPI #1255818894 in Rockford, Illinois

Provider Information

NPI Number: 1255818894
Entity Type: Organization
Organization Name: Rockford Orthopedic Associates, Ltd. DBA Orthoillinois Anesthesia
Primary Specialty: Anesthesiology
Enumeration Date: Jul 26, 2018
Last Updated: Jul 26, 2018

Practice Location

Address: 5875 E RIVERSIDE BLVD
City: Rockford
State: Illinois
ZIP Code: 61114-4937
Phone: (815) 381-7431

Authorized Official

Name: LESLIE ELMER
Title: MANAGER, CREDENTIALING AND RISK MAN
Phone: (815) 381-7431

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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