| Todd H Chaffin, MD | |
|
2400 N Rockton Ave, Rockford, IL 61103-3655 | |
| (815) 971-2000 | |
| Not Available |
| Full Name | Todd H Chaffin |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2400 N Rockton Ave, Rockford, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053421230 | NPI | - | NPPES |
| 036078881 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036-078881 (Illinois) | Primary |
| Entity Name | Rockford Health Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584 |
| Entity Name | Cgh Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902854623 PECOS PAC ID: 6103723267 Enrollment ID: O20031217000054 |
| Mailing Address | Practice Location Address |
|---|---|
| Todd H Chaffin, MD 2400 N Rockton Ave, Rockford, IL 61103-3655 Ph: (815) 971-2000 | Todd H Chaffin, MD 2400 N Rockton Ave, Rockford, IL 61103-3655 Ph: (815) 971-2000 |
Christopher M. Nielsen, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5666 East State Street, Rockford, IL 61108 Phone: 815-226-2000 Fax: 608-826-2710 | |
Waleed Mansour, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8201 E Riverside Blvd, Rockford, IL 61114 Phone: 815-971-7000 | |
Faizan Shakeel, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5666 E State St, Emergency Dept, Rockford, IL 61108 Phone: 815-226-2000 | |
Dr. Meredith Scott, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8201 E Riverside Blvd, Rockford, IL 61114 Phone: 815-971-4066 | |
Dr. Timothy P Coggin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5666 East State Street, Rockford, IL 61108 Phone: 815-226-2000 | |
John P. Rudzinski, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2400 N Rockton Ave, Rockford, IL 61103 Phone: 815-971-3333 |