Rockford Surgical Service, SC
Rockford Surgical Service, SC provides Surgical Critical Care Physician services in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
- Specialties on file
- 5
Practice location Address checks out
5668 E State St SUITE1000Rockford, IL 61108-2490
Phone: (815) 397-7900
Fax: (815) 397-7919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) | Taxonomy 208G00000X (IL) |
|---|---|
| Surgical Critical Care Physician | Taxonomy 2086S0102X · Licence 04200060 (IL) |
| Surgery Physician | Taxonomy 208600000X (IL) |
| Vascular Surgery Physician | Taxonomy 2086S0129X (IL) |
| Colon & Rectal Surgery Physician | Taxonomy 208C00000X (IL) |
Record details
| NPI number | 1073679411 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Leslie Edgcomb — President · (815) 397-7900 |
| NPI enumerated | December 29, 2006 |
| Last updated in NPPES | September 11, 2025 |
| Mailing address | 5668 E State St, Suite1000, Rockford, IL 61108-2490 |
Other providers in Rockford
-
Matthew Kottackal George, MD
5666 E State St, Rockford, IL 61108-2425 · (815) 226-2000