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Plastic surgery practice in Rockford, IL

Registered providerLicense # listed (IL)

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Public-record details

Address
5995 Spring Creek Rd, Rockford, IL 61114
Phone
(815) 977-4403
Listed under
Practices and organizations
NPI
1093152118
NPI status
Active in the NPPES registry
Provider type
Organization (practice, clinic or company)
Registered specialty (self-reported taxonomy)
Plastic Surgery (208200000X)
License number on NPI record
036124349 (IL)
NPI first issued
May 30, 2013
NPI record last updated
Feb 13, 2026

NPI 1093152118 is active in the federal NPPES registry (CMS); license 036124349 (IL) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-10-02.

Public record, not an endorsement. This listing was compiled from public records as of 2026-10-02 and may be incomplete or out of date. Plastic Surgery Index does not vet, employ, recommend or guarantee plastic surgery practices; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Plastic Surgery Index is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Plastic surgery here is the specialty the provider chose when registering for an NPI. It is not board certification and NPPES does not check it. To check board certification, use the American Board of Plastic Surgery's verification tool, and confirm the medical license with the state board.

View NPI 1093152118 in the official registry ↗

Registered specialty is not board certification. Verify the license with the state medical board and board certification with the American Board of Plastic Surgery, and ask whether the facility is accredited and who gives anesthesia.

Other plastic surgery listings in Rockford

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