AFFILIATED SURGEONS OF ROCKFORD LLC


Address: 2300 N Rockton Ave, Ste 304, Rockford, IL 61103-3619
Phone: 8159643333

AFFILIATED SURGEONS OF ROCKFORD LLC (NPI# 1851394696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851394696
Entity Type Organization
Organization Name AFFILIATED SURGEONS OF ROCKFORD LLC
Practice Address 2300 N Rockton Ave
Ste 304
Rockford
IL 61103-3619
Mailing Address Po Box 15730
Loves Park
IL 61132-5730
Practice Telephone 8159643333
Practice Fax Number 8159643134
Mailing Telephone 8159643333
Mailing Fax Number 8159643134
Enumeration Date 2005-05-24
Last Update Date 2012-02-17
Authorized Official Name DR. PAUL J KLAZURA (CONTROLLING PARTNER)
Authorized Official Telephone 8154896034
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2086S0129X Surgery
Specialization: Vascular Surgery
036063647 IL Allopathic & Osteopathic Physicians
N 208C00000X Colon & Rectal Surgery 036064410 IL Allopathic & Osteopathic Physicians
N 208600000X Surgery 036048085 IL Allopathic & Osteopathic Physicians
N 2086S0129X Surgery
Specialization: Vascular Surgery
036101179 IL Allopathic & Osteopathic Physicians
N 2086S0129X Surgery
Specialization: Vascular Surgery
036067268 IL Allopathic & Osteopathic Physicians
N 208600000X Surgery 036064323 IL Allopathic & Osteopathic Physicians
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
085002211 IL Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner 209004303 IL Physician Assistants & Advanced Practice Nursing Providers
N 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
036071666 IL Allopathic & Osteopathic Physicians
N 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
036104533 IL Allopathic & Osteopathic Physicians
Y 208600000X Surgery 036062833 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL OWCP GROUP NUMBER 204575400 01
IL BCBS GROUP NUMBER 10132011 01

Office Location

Street Address 2300 N ROCKTON AVE
STE 304
City ROCKFORD
State IL
Zip Code 61103-3619

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538768056 Patti J Wakefield Physical Therapist 2300 N Rockton Ave, Rockford, IL 61103-3619 2020-10-26
1235759192 Kathryn N Norup Physical Therapy Assistant 2300 N Rockton Ave, Rockford, IL 61103-3619 2020-04-21
1407401912 Eric Paulos Physical Therapist 2300 N Rockton Ave, Rockford, IL 61103-3619 2019-08-02
1013479575 Jennifer Davidson Occupational Therapist 2300 N Rockton Ave, Rockford, IL 61103-3619 2019-04-03
1508321597 Megan Lee Haas Physical Therapist 2300 N Rockton Ave, Rockford, IL 61103-3619 2019-02-05
1336634179 Molly C Grosvenor Nurse Practitioner 2300 N Rockton Ave, Rockford, IL 61103-3619 2018-06-25
1750870291 Lori Ann Moroz Nurse Practitioner 2300 N Rockton Ave, Rockford, IL 61103-3619 2018-05-09
1063914760 Erika J Oltmanns Dietitian, Registered 2300 N Rockton Ave, Rockford, IL 61103-3619 2018-03-08
1578074753 Dennis Durano Magdadaro Nurse Practitioner 2300 N Rockton Ave, Rockford, IL 61103-3619 2017-10-16
1407387020 Kamela Harmon Nurse Practitioner 2300 N Rockton Ave, Rockford, IL 61103-3619 2017-03-24
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598398497 The Elitist Group Home Health Aide 2929 N Main Street, Rockford, IL 61103 2020-02-19
1972064194 Mahita Bellamkonda Student in an Organized Health Care Education/Training Program 2400 North Rockton Avenue, Rockford, IL 61103 2019-03-29
1558538967 Willows Health Center Clinic/Center 4143 Albright Lane, Rockford, IL 61103 2008-05-14
1497845135 Humaira Bari Internal Medicine 2400 N. Rockton Avenue, Rockford, IL 61103 2006-10-13
1841385242 Rachel Pawlowski Occupational Therapist 3616 N. Main Street, Rockford, IL 61103 2006-10-03
1417068438 Alicia Anne Huntley Midwife 2400 Rockton Ave, Rockford, IL 61103 2006-08-31
1639190200 Glendon Burress Pediatrics 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 2006-07-21
1225065204 Daniel William Johnson Dentist 519 Toner Av, Rockford, IL 61103 2006-06-27
1760472898 Ronald Peter Oberfoell Anesthesiology 2400 North Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 2005-10-28
1841752532 Dipti Sabharwal Student in an Organized Health Care Education/Training Program 2400 N Rockton Avenue, Rockford, IL 61103 2019-04-02
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750584058 Elisha Jamyce Robinson Surgery 2509 Mandrake Dr, Rockford, IL 61108-8132 2007-06-06
1871585034 Frederick William Church Surgery 7180 Spring Brook Rd, Suite B, Rockford, IL 61114-6700 2005-08-15
1770846974 Krystle N Lange Surgery 1340 Charles St Ste 100, Rockford, IL 61104-2200 2012-06-21
1881973014 Igal Breitman Surgery 2300 N Rockton Ave, Rockford, IL 61103-3619 2011-08-05
1518253640 Lacey M Stelle Surgery 1340 Charles St Ste 100, Rockford, IL 61104-2200 2011-06-27
1447550884 Tetsuya Takeuchi Surgery 5668 E State St, Rockford, IL 61108-2464 2010-11-02
1558686709 Michael Anthony Hart Surgery 5668 E State St, Rockford, IL 61108-2464 2010-03-31
1285965905 John Eric Player Surgery 5668 E State St, Suite 1000, Rockford, IL 61108-2464 2010-01-20
1912146119 Kbclinic Surgery 5666 East State Street, Ambulatory Surgery Center/ Dr Blumofe, Rockford, IL 61108-2425 2009-02-11
1033384904 William James Cowden Surgery 2300 N Rockton Ave, Suite 304, Rockford, IL 61103-3619 2008-04-23
Find all providers in ROCKFORD

Competitor

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City ROCKFORD
Zip Code 61103

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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