LAURA BOTTROS


Address: 2400 N Rockton Ave, Rockford, IL 61103-3655
Phone: 8159715000

LAURA BOTTROS (NPI# 1962799403) 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) 1962799403
Entity Type Individual
Full Name LAURA BOTTROS
Other Name LAURA SINADA
Credential MD
Practice Address 2400 N Rockton Ave
Rockford
IL 61103-3655
Practice Telephone 8159715000
Mailing Telephone 8159715000
Enumeration Date 2011-07-05
Last Update Date 2020-08-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZH0000X Pathology
Specialization: Hematology
036148234 IL Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
IL STATE LICENSE 036148234 01
WI 1962799403 05

Office Location

Street Address 2400 N ROCKTON AVE
City ROCKFORD
State IL
Zip Code 61103-3655

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457357592 Michael J Kikta Surgery 2400 N Rockton Ave, Rockford, IL 61103-3655 2005-06-23
1053950055 Tina Longphee Registered Nurse 2400 N Rockton Ave, Rockford, IL 61103-3655 2019-12-23
1598227407 Shahid Mohammad Student in an Organized Health Care Education/Training Program 2400 N Rockton Ave, Rockford, IL 61103-3655 2019-04-01
1265993109 Sarah Elaine Robertson Student in an Organized Health Care Education/Training Program 2400 N Rockton Ave, Rockford, IL 61103-3655 2019-03-25
1770042525 Vinita Patel Student in an Organized Health Care Education/Training Program 2400 N Rockton Ave, Rockford, IL 61103-3655 2019-03-19
1255890646 Gilda Djabarzade Student in an Organized Health Care Education/Training Program 2400 N Rockton Ave, Rockford, IL 61103-3655 2019-03-15
1285103002 Amy Lask Nurse Practitioner 2400 N Rockton Ave, Rockford, IL 61103-3655 2018-11-21
1477038743 Michelle Harris Advanced Practice Midwife 2400 N Rockton Ave, Rockford, IL 61103-3655 2018-10-02
1134603095 Sarah R Linder Nurse Practitioner 2400 N Rockton Ave, Rockford, IL 61103-3655 2018-09-17
1376022350 Atiq Urrehman Khan Psychiatry & Neurology 2400 N Rockton Ave, Rockford, IL 61103-3655 2018-08-09
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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 207ZH0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Hematology

Taxonomy Definition

A hematopathologist is expert in diseases that affect blood cells, blood clotting mechanisms, bone marrow and lymph nodes. This physician has the knowledge and technical skills essential for the laboratory diagnosis of anemias, leukemias, lymphomas, bleeding disorders and blood clotting disorders.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1164802443 Areta Kowal-vern Pathology 1700 Riverwoods Dr Apt 312, Melrose Park, IL 60160-1613 2015-06-02
1336554799 Shiraz Fidai Pathology 5841 S Maryland Ave Rm S-323, Chicago, IL 60637-1447 2014-06-24
1891075925 Barina Aqil Pathology 251 E Huron St Ste 220, Chicago, IL 60611-2908 2011-08-21
1275748147 Victoria Missak Alagiozian-angelova Pathology 5004 Elm St, Skokie, IL 60077-2552 2007-05-13
1497978902 Amir Behdad Pathology 680 N Lake Shore Dr Ste 1000, Department of Pathology and Laboratory Medicine, Chicago, IL 60611 2007-04-11
1548327091 Milton Edward Skelly Pathology 4221 Fox Creek Rd, Mount Vernon, IL 62864-2155 2007-01-03
1639271802 James William Veenstra Pathology 1383 Mcglasson Rd, Jacksonville, IL 62650-6726 2006-09-01
1801312129 Nicholas David Hunter Pathology 1005 Broadway St, Quincy, IL 62301 2017-08-17
1982068789 Moe Takeda Pathology 5841 S Maryland Ave # Mc3083, Chicago, IL 60637-1443 2016-04-07
1053738195 Nicolas Manuel Lopez-hisijos Pathology 1750 W Harrison St, Chicago, IL 60612-3825 2014-03-26
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Competitor

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City ROCKFORD
Zip Code 61103

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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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