Active NPI
Rockford University
- Student Health Clinic/Center
- Rockford, IL
National Provider Identifier
1538047899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student Health Clinic/Center
- Legal business name
- ROCKFORD UNIVERSITY
- Practice address
- 5050 E State St
Rockford, IL 61108-2311 - Phone
- (815) 226-4083
- Fax
- (815) 226-3335
- NPI assigned
- Aug 25, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Diraimondo
- Title
- VP for Finance & Chief Financial of
- Phone
- (815) 226-4006
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student Health Clinic/Center | 261QS1000X | Primary |
Addresses
Primary practice location
5050 E State St
Rockford, IL 61108-2311
Mailing address
5050 E State St
Rockford, IL 61108-2311
Phone (815) 226-4083
Other names 1
- Rockford University
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2200271 | Rockford University Lang Wellness Center | Certificate of waiver | Nov 12, 2026 |
National Provider Directory
National Provider DirectoryLocations
5050 E State St
Rockford, IL 61108
Phone (815) 226-4083
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Athletic Trainer
- Rockford, IL
- NPI 1427830074
-
- Specialist
- Rockford, IL
- NPI 1962470013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756080000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756080000000",
"number": "1538047899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5050 E STATE ST",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611082311",
"telephone_number": "815-226-4083",
"fax_number": "815-226-3335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 E STATE ST",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611082311",
"telephone_number": "815-226-4083",
"fax_number": "815-226-3335"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKFORD UNIVERSITY",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-25",
"last_updated": "2025-08-25",
"certification_date": "2025-08-25",
"status": "A",
"authorized_official_last_name": "DIRAIMONDO",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "VP FOR FINANCE & CHIEF FINANCIAL OF",
"authorized_official_telephone_number": "815-226-4006"
},
"taxonomies": [
{
"code": "261QS1000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Student Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rockford University",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.