Aegis Group Practice LLC

NPI #1780553776 in Rockford, Illinois

Provider Information

NPI Number: 1780553776
Entity Type: Organization
Organization Name: Aegis Group Practice LLC
Primary Specialty: Physical Therapist
Enumeration Date: Oct 30, 2025
Last Updated: Oct 30, 2025

Practice Location

Address: 3470 N ALPINE RD
City: Rockford
State: Illinois
ZIP Code: 61114-4802
Phone: (479) 201-6037

Authorized Official

Name: TERRY LAMB
Title: CREDENTIALING
Phone: (479) 201-6037

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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