Active NPI
Northern Illinois Imaging
- Diagnostic Radiology Physician
- Rockford, IL
National Provider Identifier
1720056344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- NORTHERN ILLINOIS IMAGING
- Practice address
- 1401 E State St
Rockford, IL 61104-2315 - Phone
- (815) 489-4760
- NPI assigned
- Mar 9, 2006
- Last updated
- Aug 22, 2020
- 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
- Edward Steffen Steffen, MD
- Title
- MD
- Phone
- (815) 489-4760
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | NU | Primary |
Addresses
Primary practice location
1401 E State St
Rockford, IL 61104-2315
Mailing address
1401 E State St
Rockford, IL 61104-2315
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Rockford, IL
- NPI 1982658217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1720056344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 E STATE ST",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611042315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 E STATE ST",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611042315",
"telephone_number": "815-489-4760"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN ILLINOIS IMAGING",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "STEFFEN",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "STEFFEN",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "815-489-4760",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
- Jerald Ray Norquist, P.C.
- Taylor Ann Norris, APRN, FNP-BC
- North Main Nursing and Rehab Center
- Northern Illinois Behavioral Health Group
- Northern Illinois Hospice Association (Northern Illinois Hospice)
- Northern Illinois Medical Group S. C.
- Northern Illinois Nephrology
- Northern Illinois Nephrology, S.C
- Northern Illinois Optical Co., Inc.
- Northern Illinois Retina LTD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.