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Innovamed Veins Sc

Internal Medicine Physician in Rockford, IL · enumerated 2009 · authorized official Tracy Brito, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063652873

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Registry record

Entity type Organization (Type 2)
Legal business name Innovamed Veins Sc
Practice address 2601 N Main St, Rockford, IL, 61103
Phone (815) 987-1802
Fax (815) 987-1806
Enumeration date Mar 6, 2009
Last updated in NPPES Jun 4, 2009

Taxonomy & classification

202K00000X Phlebology Physician Allopathic & Osteopathic Physicians · License 036074111 (IL) Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 036074111 (IL) Primary

Authorized official

Name Tracy Brito
Title Owner
Phone (815) 987-1802

Other identifiers

Identifier Type State Issuer
036074111 Medicaid IL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Innovamed Veins Sc?
NPPES lists Tracy Brito (Owner) as the authorized official for this organization.
What is the NPI number for Innovamed Veins Sc?
The NPI for Innovamed Veins Sc is 1063652873, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-06-04.