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Rockford Surgical Service, S.C.

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Rockford, IL · enumerated 2006 · authorized official Leslie Edgcomb, President.

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

National Provider Identifier

1073679411

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Registry record

Entity type Organization (Type 2)
Legal business name Rockford Surgical Service, S.C.
Practice address 5668 E State St, Suite1000, Rockford, IL, 61108
Phone (815) 397-7900
Fax (815) 397-7919
Enumeration date Dec 29, 2006
Last updated in NPPES Sep 11, 2025

Taxonomy & classification

2086S0102X Surgical Critical Care Physician Allopathic & Osteopathic Physicians · License 04200060 (IL) Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians Secondary
2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians Secondary
208C00000X Colon & Rectal Surgery Physician Allopathic & Osteopathic Physicians Secondary
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Leslie Edgcomb
Title President
Phone (815) 397-7900

Other identifiers

Identifier Type State Issuer
10115298 Other IL BLUE SHIELD
96719 Other IL RAIL ROAD MEDICARE

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 Rockford Surgical Service, S.C.?
NPPES lists Leslie Edgcomb (President) as the authorized official for this organization.
What is the NPI number for Rockford Surgical Service, S.C.?
The NPI for Rockford Surgical Service, S.C. is 1073679411, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.