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General NPI Number Information
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NPI Number | 1275864118
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Entity Type | Organization
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Legal Business Name | REGINA B BIELKUS MD LLC
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Dates
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Enumeration Date | 01/15/2010
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 1055 FEATHERSTONE RD SUITE C
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City | ROCKFORD
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State | IL
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Zip | 61107-5904
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Country | US
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Telephone | 815-231-2502
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Fax |
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Provider Business Mailing Address
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Address Line | 1055 FEATHERSTONE RD STE C
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City | ROCKFORD
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State | IL
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Zip | 61107-5904
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Country | US
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Telephone | 815-231-2502
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Fax |
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Authorized Official
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Title or Position | NEUROLOGIST
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Name | REGINA B BIELKUS
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Credential | MD
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Telephone | 815-231-2502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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