ROCKFORD SURGICAL SERVICE, S.C. – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1073679411

ROCKFORD SURGICAL SERVICE, S.C. is a healthcare provider. based in Rockford, Illinois. specializing in Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. The organization holds a License No. 04200060 (IL). The NPI Number for ROCKFORD SURGICAL SERVICE, S.C. is 1073679411

Main info

Organization
Name
ROCKFORD SURGICAL SERVICE, S.C.
NPI
1073679411
Phone
(815) 397-7900
Address
5668 E STATE ST
Authorized Official
LESLIE P EDGCOMB PRESIDENT M.D.
Enumeration Date
29 December 2006
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for ROCKFORD SURGICAL SERVICE, S.C.

  • Saint Anthony Medical Center, 5668, East State Street, Rockford, Winnebago County, Illinois, 61108, United States

    SUITE1000

    ROCKFORD, IL 611082490

    Phone: (815) 397-7900

    Fax: (815) 397-7919

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61108)

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Frequently asked questions

What federal number belongs to ROCKFORD SURGICAL SERVICE, S.C.?
The federal identifier for ROCKFORD SURGICAL SERVICE, S.C. is NPI 1073679411.
Is ROCKFORD SURGICAL SERVICE, S.C. currently active in the NPI registry?
CMS-published data lists ROCKFORD SURGICAL SERVICE, S.C. as an active registrant.
What field does ROCKFORD SURGICAL SERVICE, S.C. work in?
You can think of ROCKFORD SURGICAL SERVICE, S.C. as practicing within Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. Clinical services aligned with this taxonomy classification.
Where is ROCKFORD SURGICAL SERVICE, S.C.'s primary listing?
We display Rockford, Illinois because that is what the record indicates for ROCKFORD SURGICAL SERVICE, S.C..
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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