Orthomidwest, PLLC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Rockton, IL
NPI 1366895294 · NPPES record last updated Jan 20, 2023
Key facts
- NPI
- 1366895294
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 060010709 (IL)
- Legal business name
- ORTHOMIDWEST, PLLC
- Practice address
- 330 E Main St
Rockton, IL 61072-2501 - Phone
- (815) 381-7431
- Fax
- (815) 381-7333
- NPI assigned
- Jul 15, 2016
- Organization subpart
- No
Authorized official
- Name
- Leslie Elmer, CPCS
- Title
- Credentialing Coordinator
- Phone
- (815) 381-7431
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 060010709 | IL | Yes |
Addresses
Primary practice location
330 E Main St
Rockton, IL 61072-2501
Mailing address
5875 E Riverside Blvd
Rockford, IL 61114-4937
Phone (815) 381-7431
Other names
- OrthoIllinois
Other providers in Rockton, IL
- Brett A. McWilliams
- Stefanie Lyn McWilliams
- Kristen Marie Miller
- Vasil Nika
- Kenneth O'Brien
- Theresa Ann Oster
- Erin Lynn Parker
- Shelly L Patchett
- Mark Peters
- Hannah Proctor
All providers in Rockton, IL · Durable Medical Equipment & Medical Supplies in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.