Active NPI
Alfredo Daniel Bizzocchi
- Family Medicine Physician
- Belvidere, IL
National Provider Identifier
1134822257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036-181547
- Practice address
- 1700 Henry Luckow LN
Belvidere, IL 61008-1702 - Phone
- (779) 696-8650
- NPI assigned
- Mar 27, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 036-181547 | IL | Primary |
Addresses
Primary practice location
1700 Henry Luckow LN
Belvidere, IL 61008-1702
Mailing address
1015 Saxon CT Apt D
Elgin, IL 60120-7160
Phone (773) 558-8772
Other practice location 1
1007 Goodyear Ave Bldg 1
Gadsden, AL 35903-1100
Phone (256) 413-6257
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Interoperability endpoints
- alfredo.bizzocchi.1@1831.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1134822257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 SAXON CT APT D",
"city": "ELGIN",
"state": "IL",
"postal_code": "601207160",
"telephone_number": "773-558-8772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 HENRY LUCKOW LN",
"city": "BELVIDERE",
"state": "IL",
"postal_code": "610081702",
"telephone_number": "779-696-8650"
}
],
"practiceLocations": [
{
"address_1": "1007 Goodyear Ave Bldg 1",
"address_purpose": "LOCATION",
"city": "Gadsden",
"state": "AL",
"postal_code": "359031100",
"country_code": "US",
"telephone_number": "256-413-6257",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BIZZOCCHI",
"first_name": "ALFREDO",
"middle_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-27",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036-181547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belvidere, IL
- Belvidere Physical Therapy Inc
- Belvidere Rehab & Sports Medicine
- Nicole Bennett, LCSW
- Whitney Anne Bennett, PHARMD
- Lora Ethelyn Bertell, PHARMD
- Jeremiah Blaser, PT, DPT
- Board of Trustees of the University of Illinois
- Boone County Council on Aging
- Boone County Council on Aging
- Boone County Rural Fire Protection District Number Two
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.