Organization · Type 2 NPI

Rockford Surgical Service, S.c.

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Rockford, IL

NPI number 1073679411 Active

Practice location

5668 E State St, SUITE1000
Rockford, IL 61108-2490

Call (815) 397-7900 Map

Fax (815) 397-7919

Specialties and licenses

TaxonomyCodeLicense
Surgical Critical Care Physician 2086S0102X04200060 (IL)
Surgery Physician 208600000XNone listed
Vascular Surgery Physician 2086S0129XNone listed
Colon & Rectal Surgery Physician 208C00000XNone listed
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary 208G00000XNone listed

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician: A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of th…

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About NPI 1073679411

Rockford Surgical Service, S.c.'s National Provider Identifier is 1073679411, issued on Dec 29, 2006. The primary taxonomy on file is Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (208G00000X), and the practice location is in Rockford, IL. The record was last updated on Sep 11, 2025.