Organization Active NPI

Camelot Radiology Associates LTD

Doing business as Northern Illinois Radiologists

  • Diagnostic Radiology Physician
  • Freeport, IL
National Provider Identifier
1841244753
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
42000454 Issued in IL
Legal business name
CAMELOT RADIOLOGY ASSOCIATES LTD
Doing business as
Northern Illinois Radiologists
Practice address
1045 W Stephenson St
Freeport, IL 61032-4864
Phone
(815) 397-5554
Fax
(866) 914-7594
NPI assigned
May 22, 2006
Last updated
Oct 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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

Authorized official

Name
Rebecca M Stemm
Title
Practice Administrator
Phone
(815) 397-5554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 42000454 IL Primary

Addresses

Primary practice location

1045 W Stephenson St
Freeport, IL 61032-4864

Mailing address

3871 N Perryville Rd
Rockford, IL 61114-8080
Phone (815) 397-5554

Other practice location 1

900 N 2nd St
Rochelle, IL 61068-1717
Phone (815) 562-2181

Other names 1

  • Northern Illinois Radiologists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, VA, CA, AZ, TX, FL, MA, PA, CO, MD, DC, TN, WA, MO, IA, NC, GA, AL, OK19 enrollments

Enrollment records 19

Enrollment IDStateProvider typePAC IDDetails
O20040227000500 IL Part B Supplier - Clinic/Group Practice 4880580521 Receives reassigned benefits from 7 practitioners
Practice locations: Rochelle, IL; Rockford, IL; Sycamore, IL
O20220309000794 VA Part B Supplier - Clinic/Group Practice 4880580521 Receives reassigned benefits from 3 practitioners
Practice locations: Williamsburg, VA
O20220310001510 CA Part B Supplier - Clinic/Group Practice 4880580521 Receives reassigned benefits from 5 practitioners
Practice locations: Laguna Niguel, CA; Los Angeles, CA; Moorpark, CA; San Dimas, CA; Seal Beach, CA; Temecula, CA
O20220311000814 AZ Part B Supplier - Clinic/Group Practice 4880580521 Receives reassigned benefits from 4 practitioners
Practice locations: Phoenix, AZ; Scottsdale, AZ
O20220311002233 TX Part B Supplier - Clinic/Group Practice 4880580521 Receives reassigned benefits from 4 practitioners
Practice locations: Houston, TX; Katy, TX; Keller, TX; Lubbock, TX; Sugar Land, TX
O20220315002774 FL Part B Supplier - Clinic/Group Practice 4880580521 Receives reassigned benefits from 2 practitioners
Practice locations: Naples, FL
O20220316002770 MA Part B Supplier - Clinic/Group Practice 4880580521 Receives reassigned benefits from 3 practitioners
Practice locations: Amherst, MA; Newburyport, MA; Natick, MA
O20220811002454 PA Part B Supplier - Clinic/Group Practice 4880580521 Receives reassigned benefits from 1 practitioner
Practice locations: Wynnewood, PA; Gibsonia, PA
O20220913003571 CO Part B Supplier - Clinic/Group Practice 4880580521 Receives reassigned benefits from 5 practitioners
Practice locations: Monument, CO
O20240606000376 MD Part B Supplier - Clinic/Group Practice 4880580521 Practice locations: Lutherville, MD
O20240606000603 DC Part B Supplier - Clinic/Group Practice 4880580521 Receives reassigned benefits from 2 practitioners
Practice locations: Arlington, VA
O20240610002564 TN Part B Supplier - Clinic/Group Practice 4880580521 Receives reassigned benefits from 3 practitioners
Practice locations: Knoxville, TN; Signal Mountain, TN; Soddy Daisy, TN
O20240613002759 WA Part B Supplier - Clinic/Group Practice 4880580521 Receives reassigned benefits from 7 practitioners
Practice locations: Port Townsend, WA; Wenatchee, WA; Seattle, WA; Leavenworth, WA; Kirkland, WA; Clyde Hill, WA; Bellingham, WA; Bellevue, WA
O20240701001060 MO Part B Supplier - Clinic/Group Practice 4880580521 Receives reassigned benefits from 1 practitioner
Practice locations: Jefferson City, MO
O20250313003106 IA Part B Supplier - Clinic/Group Practice 4880580521 Receives reassigned benefits from 1 practitioner
Practice locations: Mason City, IA
O20251015000108 NC Part B Supplier - Clinic/Group Practice 4880580521 Receives reassigned benefits from 3 practitioners
Practice locations: Morrisville, NC; Durham, NC; Charlotte, NC
O20260202001534 GA Part B Supplier - Clinic/Group Practice 4880580521 Receives reassigned benefits from 3 practitioners
Practice locations: Ellerslie, GA; Brooks, GA; Savannah, GA
O20260203001605 AL Part B Supplier - Clinic/Group Practice 4880580521 Receives reassigned benefits from 1 practitioner
Practice locations: Mountain BRK, AL
O20260203003791 OK Part B Supplier - Clinic/Group Practice 4880580521 Receives reassigned benefits from 1 practitioner
Practice locations: Edmond, OK

National Provider Directory

National Provider Directory

Locations

129 Phelps Ave
Ste 213
Rockford, IL 61108
Phone (815) 394-0016

190 Buckley Dr
Ste C
Rockford, IL 61107
Phone 8153975554233

3871 N Perryville Rd
Rockford, IL 61114

Practitioners & affiliated clinicians

Practitioners 58

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.

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792108800000",
    "number": "1841244753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3871 N PERRYVILLE RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611148080",
            "telephone_number": "815-397-5554",
            "fax_number": "866-914-7594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 W STEPHENSON ST",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610324864",
            "telephone_number": "815-397-5554",
            "fax_number": "866-914-7594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 N 2nd St",
            "address_purpose": "LOCATION",
            "city": "Rochelle",
            "state": "IL",
            "postal_code": "610681717",
            "country_code": "US",
            "telephone_number": "815-562-2181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAMELOT RADIOLOGY ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A",
        "authorized_official_last_name": "STEMM",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "815-397-5554"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "42000454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Illinois Radiologists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Freeport, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; 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.