Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Medical Resource Center Ltd

Organization Family Medicine Physician · NPI 1770507295

Medical Resource Center Ltd provides Family Medicine Physician services in Loves Park, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
Specialties on file
3
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6550 E Riverside Blvd
Loves Park, IL 61111-4424
Phone: (815) 633-4100
Fax: (815) 633-5141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 036067911 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036096167 (IL)
General Practice Physician Taxonomy 208D00000X · Licence 036066772 (IL)

Record details

NPI number1770507295
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Disanti — Officer · (815) 633-4100
NPI enumeratedJuly 27, 2006
Last updated in NPPESFebruary 13, 2024
Certification dateFebruary 13, 2024
Mailing address6550 E Riverside Blvd, Loves Park, IL 61111-4424

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