DLX Medical Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036091286 Issued in IL

Legal business name

DLX MEDICAL GROUP INC

Practice address

461 N Mulford Rd
Rockford, IL 61107-5190

Phone

(815) 227-9594

Fax

(815) 227-9574

NPI assigned

Jul 24, 2008

Organization subpart

No

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

Authorized official

Name

Diana Alanis, MDNPI 1922007418

Title

President

Phone

(815) 227-9594

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diana Elizabeth Alanis, MD

  • Family Medicine Physician
  • Rockford, IL
  • NPI 1922007418
  Medicare reassignment NPD Authorized official
• Melissa L. Inman, APN

  • Nurse Practitioner
  • Rockford, IL
  • NPI 1013453075
  Medicare reassignment NPD
• Scott Alan Cater, D.C.

  • Chiropractor
  • Rockford, IL
  • NPI 1942217534
  NPD (past)

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1386809820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 N MULFORD RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075190",
            "telephone_number": "815-227-9594",
            "fax_number": "815-227-9574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 N MULFORD RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075190",
            "telephone_number": "815-227-9594",
            "fax_number": "815-227-9574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1212 Currency Ct",
            "address_purpose": "LOCATION",
            "city": "Rochelle",
            "state": "IL",
            "postal_code": "610682321",
            "country_code": "US",
            "telephone_number": "815-227-9594",
            "fax_number": "815-227-9574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DLX MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "ALANIS",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-227-9594",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036091286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Dittmer, MSN, DNS-CT, RN
• Carly Renee Ditto
• Cristina Diventi, LSW
• Katie E Dixon, DPT
• Tiniya Dixon
• Vitaliy Dobrogorskiy, DC
• Jennifer Marie Dobson, C.N.M.
• Sheila Marie Dock, LSW
• Matthew Dodaro, M.D.
• Karen Lynn Dodson, LAC CH DOM

• Family Medicine Physician in Rockford, IL
• Providers in Rockford, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.