Organization · Type 2 NPI
Rockford Pain Management Ltd
General Practice Physician · Rockford, IL
NPI number
1174885107
Active
Practice location
6443 E Riverside Blvd Ste 101
Rockford, IL 61114-4421
Fax (815) 639-9860
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Other general practice physician providers in Rockford
About NPI 1174885107
Rockford Pain Management Ltd's National Provider Identifier is 1174885107, issued on Jun 14, 2012. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Rockford, IL. The record was last updated on Nov 2, 2026.