Rockford Surgical Service, S.C.

LBN: Rockford Surgical Service, S.C.
Rockford Surgical Service, S.C. is an health care organization with primary practice located at 5668 E State St Suite1000, Rockford IL 61108-2490. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Surgical Critical Care is the primary health care specialty. Rockford Surgical Service, S.C. can be contacted via phone (815) 397-7900, or through Edgcomb, Leslie P via phone (815) 397-7900.

Contact Information

Primary practice address
5668 E State St Suite1000 Rockford IL 61108-2490
Phone: (815) 397-7900
Fax: (815) 397-7919
Website:
Map and Directions
Authorized official contact:
Name: Edgcomb, Leslie P Doctor of Medicine (MD)
Phone: (815) 397-7900

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 04200060 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X Illinois
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X Illinois
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X Illinois
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X Illinois

Profile Details

NPI number 1073679411
LBN Legal business name Rockford Surgical Service, S.C.
DBA Doing business as
Authorized official Edgcomb, Leslie P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073679411 NPPES
Illinois Other 10115298 BLUE SHIELD
Illinois Other 96719 BLUE SHIELD

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