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General NPI Number Information
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NPI Number | 1952272205
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Entity Type | Organization
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Legal Business Name | ROCKFORD HEALTH PHYSICIANS
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 7402 E RIVERSIDE BLVD
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City | LOVES PARK
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State | IL
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Zip | 61111-5630
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Country | US
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Telephone | 815-971-7400
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Fax | 815-971-9460
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Provider Business Mailing Address
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Address Line | 7402 E RIVERSIDE BLVD
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City | LOVES PARK
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State | IL
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Zip | 61111-5630
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Country | US
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Telephone | 815-971-7400
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Fax | 815-971-9460
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Authorized Official
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Title or Position | VP CFO
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Name | JOSEPH D MALAS
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Credential |
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Telephone | 815-971-6738
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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