Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Surgical Services of Illinois, Sc

Dermatology Physician in Rockford, IL · enumerated 2009 · authorized official Andrew Jun, President.

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

National Provider Identifier

1932437290

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Registry record

Entity type Organization (Type 2)

Legal business name Surgical Services of Illinois, Sc

Other name <Unavail>

Practice address 1235 N Mulford Rd, Ste. 205, Rockford, IL, 61107

Phone (815) 484-9900

Fax (815) 487-4949

Enumeration date Nov 25, 2009

Last updated in NPPES Jan 30, 2023

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Primary

207ND0101X MOHS-Micrographic Surgery Physician Allopathic & Osteopathic Physicians Secondary

207NP0225X Pediatric Dermatology Physician Allopathic & Osteopathic Physicians Secondary

207NS0135X Procedural Dermatology Physician Allopathic & Osteopathic Physicians Secondary

207Y00000X Otolaryngology Physician Allopathic & Osteopathic Physicians Secondary

207YP0228X Pediatric Otolaryngology Physician Allopathic & Osteopathic Physicians Secondary

207YS0123X Facial Plastic Surgery Physician Allopathic & Osteopathic Physicians Secondary

207YX0007X Plastic Surgery within the Head & Neck (Otolaryngology) Physician Allopathic & Osteopathic Physicians Secondary

207YX0602X Otolaryngic Allergy Physician Allopathic & Osteopathic Physicians Secondary

207YX0905X Otolaryngology/Facial Plastic Surgery Physician Allopathic & Osteopathic Physicians Secondary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Andrew Jun

Title President

Phone (815) 484-9900

Other identifiers

Identifier	Type	State	Issuer
IL2884	Other	-	MEDICARE ID

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.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Surgical Services of Illinois, Sc located?

The practice location on file with NPPES is in Rockford, IL.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-01-30. Verify at npiregistry.cms.hhs.gov.

Providers at this address

Browse all →

Susan Fowell Retina Specialist (Ophthalmology) Physician · Rockford, IL NPI 1821091075 Christopher Green Orthopaedic Surgery Physician · Rockford, IL NPI 1326048547 Scott Jones Physical Medicine & Rehabilitation Physician · Rockford, IL NPI 1497755573 David Mccarty Orthopaedic Surgery Physician · Rockford, IL NPI 1295722650 Orthopedic Associates of Northern Illinois, LLC Orthopaedic Surgery Physician · Rockford, IL NPI 1740277102 Andrew Jun Otolaryngology Physician · Rockford, IL NPI 1841270717 Orthopaedic & Arthritis Clinic of Rockford Ltd Orthopaedic Surgery Physician · Rockford, IL NPI 1508812611 Medical Pain Management Services, Ltd. Pain Clinic/Center · Rockford, IL NPI 1447276480

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-01-30.