Kelly L Magoon
CARLSON ORTHOPEDIC CLINIC SC


Address: 1848 Daimler Rd, Rockford, IL 61112-1019
Phone: 8153989100

Kelly L Magoon (NPI# 1811303217, PAC ID# 6507085479) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1811303217
PAC ID by PECOS 6507085479
Professional Enrollment ID I20140909000819
Full Name Kelly L Magoon
Organization Legal Name CARLSON ORTHOPEDIC CLINIC SC
Address 1848 Daimler Rd
Rockford
IL 61112-1019
Phone Number 8153989100
Gender F
Graduation Year 2014
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 6901971316
Number of Group Practice Members 3
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
140233 OSF SAINT ANTHONY MEDICAL CENTER

Other Locations

Address Phone Organization
1848 Daimler Rd, Rockford, IL 61112-1019 8153989100 CARLSON ORTHOPEDIC CLINIC SC

Organization Information

Organization Legal Name CARLSON ORTHOPEDIC CLINIC SC
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Mark E Carlson Orthopedic Surgery Carlson Orthopedic Clinic Sc 1848 Daimler Rd, Suite 1, Rockford, IL 61112-1019

Office Location

Street Address 1848 DAIMLER RD
City ROCKFORD
State IL
Zip 61112-1019

Physicians in the same location

Name Specialty Organization Address
Mark E Carlson Orthopedic Surgery Carlson Orthopedic Clinic Sc 1848 Daimler Rd, Suite 1, Rockford, IL 61112-1019

Physicians in the same zip code

Name Specialty Organization Address
Wingyin Hui Optometry Facchiano and Associates PC E265 Cherryvale Mall, Rockford, IL 61112
James C Wooldridge Optometry Wooldridge Optometry LLC 7200 Harrison Ave, E265, Rockford, IL 61112-1017
Glennetta M Coleman Internal Medicine 1893 Daimler Rd, Rockford, IL 61112-1081
Brant D Hulsebus Chiropractic Hulsebus Rockford Chiropractic 1877 Daimler Rd, Rockford, IL 61112-1098
Craig A Stear Jr. Chiropractic Hulsebus Rockford Chiropractic 1877 Daimler Rd, Rockford, IL 61112-1098
Joshua Berven Chiropractic Hulsebus Rockford Chiropractic 1877 Daimler Rd, Rockford, IL 61112-1098
Nathaniel Hays Chiropractic Hulsebus Rockford Chiropractic 1877 Daimler Rd, Rockford, IL 61112-1098

Competitor

Search similar physicians

City ROCKFORD
Zip Code 61112
Specialty PHYSICIAN ASSISTANT
City + Specialty ROCKFORD + PHYSICIAN ASSISTANT

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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