Active NPI
Joseph J Eckburg, MD
- Family Medicine Physician
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036095243
- Practice address
- 7117 Crimson Ridge Dr Ste 3
Rockford, IL 61107-6213 - Phone
- (815) 316-8700
- Fax
- (310) 356-4935
- NPI assigned
- Nov 10, 2006
- 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 |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 036095243 | IL | |
| Family Medicine Physician | 207Q00000X | 036095243 | IL | Primary |
Addresses
Primary practice location
7117 Crimson Ridge Dr Ste 3
Rockford, IL 61107-6213
Mailing address
7117 Crimson Ridge Dr Ste 3
Rockford, IL 61107-6213
Phone (815) 316-8700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2017 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036095243 | IL | MD | Addiction Medicine (Family Medicine) Physician |
| 36922 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LTC Medical Inc | Current | Accepting new patients | |
| Refresh in-Home Counseling LLC | Past | Accepting new patients | |
| Refresh Midwest Operations, SC | Past | Accepting new patients | |
| Cater Chiropractic Clinic PC | Past | Accepting new patients |
Locations
134 N McLean Blvd
Elgin, IL 60123
Phone (773) 463-5383
502 N State St
Franklin Grove, IL 61031
Phone (815) 456-2374
6131 Park Ridge Rd
Loves Park, IL 61111
Phone (815) 543-0545
803 Royal Dr
McHenry, IL 60050
Phone (815) 335-2600
811 S 10th St
Oregon, IL 61061
Phone (815) 732-7994
7117 Crimson Ridge Dr
Rockford, IL 61107
2313 N Rockton Ave
Rockford, IL 61103
Phone (815) 964-2200
7117 Crimson Ridge Dr
Ste 3
Rockford, IL 61107
Phone (815) 316-8700
1515 Blackhawk Blvd
South Beloit, IL 61080
Phone (815) 389-3900
2406 Hartland Rd
Woodstock, IL 60098
Phone (815) 338-0312
709 Meadow Park Dr
Clinton, WI 53525
Phone (608) 676-2202
1130 Collins Rd
Jefferson, WI 53549
Phone (312) 404-9818
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nurse Practitioner
- Rockford, IL
- NPI 1538307228
-
- Chiropractor
- Rockford, IL
- NPI 1740471002
-
- Clinical Social Worker
- Antioch, IL
- NPI 1609365519
-
- Psychologist
- Hudson, WI
- NPI 1932625357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779062400000",
"number": "1154492312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7117 CRIMSON RIDGE DR STE 3",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611076213",
"telephone_number": "815-316-8700",
"fax_number": "310-356-4935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7117 CRIMSON RIDGE DR STE 3",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611076213",
"telephone_number": "815-316-8700",
"fax_number": "310-356-4935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKBURG",
"first_name": "JOSEPH",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-10",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "IL",
"license": "036095243",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036095243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
- Easter Seals Children'S Development Center
- Easter Seals Children'S Development Center
- Janice Petersen Easty, O.D.
- Gareth A Eberle, MD
- Brenda Alis Echeverria, APRN
- Courtney R Eckhoff, APRN
- Jithinraj Edakkanambeth Varayil, MD
- Kathryn Ashley Edgcomb, D.D.S., M.S.
- Leslie Paul Edgcomb, M.D.
- Edgebrook Dermatology P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.