EDGEBROOK DERMATOLOGY, PC. – Dermatology Physician, NPI 1710049234

EDGEBROOK DERMATOLOGY, PC. is a healthcare provider. based in Rockford, Illinois. specializing in Dermatology Physician. The NPI Number for EDGEBROOK DERMATOLOGY, PC. is 1710049234

Main info

Organization
Name
EDGEBROOK DERMATOLOGY, PC.
NPI
1710049234
Phone
Not provided
Address
PO BOX 1686
Authorized Official
MARIA ALBASHA PRESIDENT
Enumeration Date
14 December 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for EDGEBROOK DERMATOLOGY, PC.

  • Rockford Post Office, 104, West Main Avenue, Rockford, Floyd County, Iowa, 50468, United States

    ROCKFORD, IL 611100186

    Phone:

    Type: Mailing

  • 1639, North Alpine Road, Samuelson Corners, Rockford, Winnebago County, Illinois, 61107, United States

    ROCKFORD, IL 611071449

    Phone: (815) 229-9333

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

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

Insurance plans in this area (ZIP 61110)

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Reviews

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Frequently asked questions

Can I verify EDGEBROOK DERMATOLOGY, PC. with an NPI only?
You can start verification with NPI 1710049234 for EDGEBROOK DERMATOLOGY, PC., then check state licensing separately.
Is EDGEBROOK DERMATOLOGY, PC. listed as active for patients and plans?
The listing shows EDGEBROOK DERMATOLOGY, PC. as active in the NPI system.
What is EDGEBROOK DERMATOLOGY, PC.'s primary classification?
Dermatology Physician is the headline specialty for EDGEBROOK DERMATOLOGY, PC. here. Clinical services aligned with this taxonomy classification.
Where should I expect EDGEBROOK DERMATOLOGY, PC. on a map?
Expect Rockford, Illinois as a primary anchor for EDGEBROOK DERMATOLOGY, PC. unless the record lists multiple sites.
Is the information about EDGEBROOK DERMATOLOGY, PC. up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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