Rockford Neuromonitoring Group LLC

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Legal business name

ROCKFORD NEUROMONITORING GROUP LLC

Practice address

1036 Lundvall Ave
Rockford, IL 61107-3338

Phone

(815) 408-0519

Fax

(815) 977-5149

NPI assigned

Oct 27, 2010

Last updated

Nov 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Edward Dragos III, R. EP T, CNIMNPI 1851691158

Title

Managing Member

Phone

(815) 408-0519

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Edward Dragos III, R. EP T, CNIM

  • Electroneurodiagnostic Specialist/Technologist
  • Rockford, IL
  • NPI 1851691158
  NPD (past) Authorized official

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1265732036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 LUNDVALL AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611073338",
            "telephone_number": "815-408-0519",
            "fax_number": "815-977-5149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 LUNDVALL AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611073338",
            "telephone_number": "815-408-0519",
            "fax_number": "815-977-5149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKFORD NEUROMONITORING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "DRAGOS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "815-408-0519",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "R. EP T, CNIM"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Electroneurodiagnostic Specialist/Technologist in Rockford, IL
• Providers in Rockford, IL by specialty
• Electroneurodiagnostic Specialist/Technologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.