Organization Active NPI

Rockford University

  • Student Health Clinic/Center
  • Rockford, IL
National Provider Identifier
1538047899
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
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

Updated by the provider on Aug 25, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2200271Rockford University Lang Wellness Center5050 E State St, Rockford, IL 61108Certificate of waiverNov 12, 2026

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.