Provider Demographics
NPI:1538047899
Name:ROCKFORD UNIVERSITY
Entity type:Organization
Organization Name:ROCKFORD UNIVERSITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP FOR FINANCE & CHIEF FINANCIAL OF
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:DIRAIMONDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-226-4006
Mailing Address - Street 1:5050 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61108-2311
Mailing Address - Country:US
Mailing Address - Phone:815-226-4083
Mailing Address - Fax:815-226-3335
Practice Address - Street 1:5050 E STATE ST
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61108-2311
Practice Address - Country:US
Practice Address - Phone:815-226-4083
Practice Address - Fax:815-226-3335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health