Organization Active NPI

Vedic Roots Integrative Medicine Inc

  • Health Service Clinic/Center
  • Rockford, IL
National Provider Identifier
1124958632
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
VEDIC ROOTS INTEGRATIVE MEDICINE INC
Practice address
4753 Manhattan Dr
Rockford, IL 61108-2264
Phone
(779) 423-5411
NPI assigned
May 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Adriana Tobar, MDNPI 1609821826
Title
Medical Director
Phone
(815) 494-4538

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

4753 Manhattan Dr
Rockford, IL 61108-2264

Mailing address

4753 Manhattan Dr
Rockford, IL 61108-2264
Phone (779) 423-5411

National Provider Directory

National Provider Directory

Locations

4753 Manhattan Dr
Rockford, IL 61108
Phone (815) 395-1450

4753 Manhattan Dr
Lowr
Rockford, IL 61108

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1779148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1124958632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4753 MANHATTAN DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082264",
            "telephone_number": "779-423-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4753 MANHATTAN DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082264",
            "telephone_number": "779-423-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEDIC ROOTS INTEGRATIVE MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-19",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "TOBAR",
        "authorized_official_first_name": "ADRIANA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "815-494-4538",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.