Individual provider · Type 1 NPI

Timothy Raymond Niedzielak, DO

Orthopaedic Surgery Physician · Rockford, IL

NPI number 1972028421 Active

Practice location

8201 E Riverside Blvd
Rockford, IL 61114-2300

Call (815) 971-7000 Map

Fax (815) 968-7830

Other practice locations

  • 1100 Virginia Ave, Columbia, MO 65212-0001 · (573) 882-2663

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician 207X00000X5665 (FL)
Orthopaedic Surgery Physician 207X00000X2022018519 (MO)
Orthopaedic Trauma Physician 207XX0801X2022018519 (MO)
Student in an Organized Health Care Education/Training Program 390200000X5665 (FL)
Orthopaedic Surgery Physician Primary 207X00000X036165587 (IL)

Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…

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About NPI 1972028421

Timothy Raymond Niedzielak, DO's National Provider Identifier is 1972028421, issued on Aug 6, 2017. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in Rockford, IL. The record was last updated on Sep 12, 2023.