Healthcare Provider Details

I. General information

NPI: 1427492453
Provider Name (Legal Business Name): ARMANDO STEVE HUARINGA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2013
Last Update Date: 07/03/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 CHARLES ST NEONATOLOGY
ROCKFORD IL
61104
US

IV. Provider business mailing address

1350 CHARLES ST NEONATOLOGY
ROCKFORD IL
61104
US

V. Phone/Fax

Practice location:
  • Phone: 779-696-4400
  • Fax:
Mailing address:
  • Phone: 779-696-4400
  • Fax: 888-720-1836

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number135096
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number036.159535
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: