Individual provider Active NPI

Joseph J Eckburg, MD

  • Family Medicine Physician
  • Rockford, IL
National Provider Identifier
1154492312
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036095243 Issued in IL
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

Updated by the provider on May 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
036095243ILMDAddiction Medicine (Family Medicine) Physician
36922WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
LTC Medical Inc CurrentSince Mar 21, 2009 Accepting new patients
Refresh in-Home Counseling LLC PastSince Apr 23, 2018 Accepting new patients
Refresh Midwest Operations, SC PastSince Jun 26, 2019 Accepting new patients
Cater Chiropractic Clinic PC PastSince Jan 9, 2015 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.

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

Sources for this page

Verify at the official NPI Registry.