INTEGRATIVE MEDICAL OF ROCKFORD (NPI# 1992297428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992297428 |
| Entity Type | Organization |
| Organization Name | INTEGRATIVE MEDICAL OF ROCKFORD |
| Practice Address |
863 S Perryville Rd Ste 100 Rockford IL 61108-4328 |
| Mailing Address |
863 S. Perryville Rd Rockford IL 61108 |
| Practice Telephone | 7794232044 |
| Practice Fax Number | 7794232045 |
| Mailing Telephone | 7794232044 |
| Mailing Fax Number | 7794232045 |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2020-03-31 |
| Authorized Official Name | JARED G ERDMIER (OWNER) |
| Authorized Official Telephone | 7794232044 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
863 S PERRYVILLE RD STE 100 |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61108-4328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780291450 | Jonathan Robert Kirk | Chiropractor | 863 S Perryville Rd Ste 100, Rockford, IL 61108-4328 | 2020-09-28 |
| 1366058307 | Ryan Scott Weintraub | Chiropractor | 863 S Perryville Rd Ste 100, Rockford, IL 61108-4328 | 2020-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952862617 | Isr Enterprises, Inc. | Homemaker | 129 Phelps Ave, Bldg 10, Ste 1008, Rockford, IL 61108 | 2019-03-26 |
| 1003306465 | Adrienne Nicole Black | Behavior Technician | 519 Woodland Dr, Woodland Dr, Rockford, IL 61108 | 2018-05-11 |
| 1184085201 | Integrative Healing Center, LLC | Clinic/Center | 6019 Fincham Drive, Rockford, IL 61108 | 2016-03-17 |
| 1730547936 | Perryville Dentist PC | Dentist | 845 S Perryville Rd, Unit 119, Rockford, IL 61108 | 2016-02-02 |
| 1023489853 | Nicole Ping Ticknor | Counselor | 433 S. Phelps Ave., Suite 2, Rockford, IL 61108 | 2015-10-20 |
| 1275940348 | Northwest Home Care, Inc. | Home Health | 1437 S. Bell School Road, Suite 7, Rockford, IL 61108 | 2014-07-21 |
| 1487072922 | Alecia Greenlee | Psychiatry & Neurology | Rosecrance Community Mental Health, 3815 Harrison Avenue, Rockford, IL 61108 | 2014-04-02 |
| 1871925446 | Maria Laura Gustafson | Interpreter | 3208 Wesleyan Ave., Rockford, IL 61108 | 2013-08-06 |
| 1346582822 | Joseph Peevey | Pathology | 5666 E State Street, Department of Pathology, Rockford, IL 61108 | 2013-03-21 |
| 1134466923 | James Henry Peck | Hearing Instrument Specialist | 2424 Charles St, Rockford, IL 61108 | 2013-01-14 |
| Find all providers in zip 61108 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710257787 | Rudolf Vedo | General Practice | 5833 Nebeshone Ln, Rockford, IL 61103-8928 | 2012-01-09 |
| 1952670911 | Dr Patel Sc | General Practice | 6090 Strathmoor Dr Ste 4, Rockford, IL 61107-5200 | 2011-12-21 |
| 1295718641 | Jamil Hussain | General Practice | 6090 Strathmoor Dr, Rockford, IL 61107-6628 | 2005-11-21 |
| 1891294195 | Amanda Lynn Halvorson | General Practice | 5970 Churchview Dr, Rockford, IL 61107-2574 | 2018-02-02 |
| 1174885107 | Rockford Pain Management Ltd | General Practice | 6451 E Riverside Blvd, Suite 101, Rockford, IL 61114-4421 | 2012-06-14 |
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| 1447881487 | Tyrian Healthcare Solutions, LLC | General Practice | 2120 W Heading Ave, West Peoria, IL 61604-5138 | 2020-01-29 |
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| 1164067054 | League Corp. | General Practice | 515 N State St Fl 8, Chicago, IL 60654-9102 | 2019-11-14 |
| 1679129977 | Chronic Care Solutions LLC | General Practice | 3050 W Columbia Ave, Chicago, IL 60645-4006 | 2019-08-13 |
| 1205393972 | Midwest Medical LLC | General Practice | 2001 Midwest Rd Ste Ll22, Oak Brook, IL 60523-1316 | 2019-02-28 |
| 1306311725 | Genesis Integrative Medicine LLC | General Practice | 1881 S Randall Rd Ste C, Geneva, IL 60134-2532 | 2018-10-11 |
| Find all providers with the same taxonomy | ||||
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| 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.