Transformations Clinical Entity Florida Illinois And Ohio Sc Valid NPI

Organization · Plastic Surgery Physician · Rockford, IL

NPI

1093152118

Type

Organization (Type 2)

Primary specialty

Plastic Surgery Physician (Plastic Surgery)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208200000X

License number

036124349 (IL)

Enumerated

2013-05-30

Last updated

2026-02-13