Mulford Medical LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036096167 Issued in IL

Legal business name

MULFORD MEDICAL LLC

Practice address

657 S Mulford Rd
Rockford, IL 61108-2533

Phone

(815) 229-9900

Fax

(815) 229-9953

NPI assigned

Sep 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Theodore H. Schock, D.O.

Title

Member

Phone

(815) 229-9900

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Vafa Shayani, MD

  • Surgery Physician
  • Hinsdale, IL
  • NPI 1134193220
  NPD (past)

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1639327828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 S MULFORD RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082533",
            "telephone_number": "815-229-9900",
            "fax_number": "815-229-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 S MULFORD RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082533",
            "telephone_number": "815-229-9900",
            "fax_number": "815-229-9953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULFORD MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "SCHOCK",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "815-229-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036096167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Mueller, DPT
• Tracy Larkins Muhammad, MD
• Basil Muhanna
• Muamer Mulasmajic, APN
• Brian Thomas Mulder, APN
• Steven G Mull, MD
• Rajyalaxmi Mullapudi, M.D.
• Patrick B Mulligan, MD
• Laura Ann Mullikin, LCSW
• Jerry E Munday, RPH

• 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 Sep 3, 2008; 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.