D/B/A CHERRY VALLEY MEDICAL CLINIC
NPI 1013930353
General Practice in Rockford, IL

Q: What is Physician Associates Limited's NPI number?

The NPI number for Physician Associates Limited is 1013930353. It was assigned to this organization in the NPPES registry on July 26, 2006. The provider is doing business as D/B/A Cherry Valley Medical Clinic.

Q: What is Physician Associates Limited's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since July 26, 2006CLIA 14D0429570 · Waiver

1848 DAIMLER RD, ROCKFORD, IL 61112(815) 229-2500(815) 398-9587 Get Directions Write a Review

NPPES record last updated: August 13, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About D/b/a Cherry Valley Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

D/B/A CHERRY VALLEY MEDICAL CLINIC (NPI 1013930353) is a healthcare organization registered as a general practice in Rockford, Illinois and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through February 9, 2028 and lists Thomas L Michalsen, President, as its authorized official.

NPPES Registry Identity

NPI1013930353

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NamePHYSICIAN ASSOCIATES LIMITED

Location Address1848 DAIMLER RDRockford, IL 61112-1019

Mailing Address1848 Daimler RdRockford, IL 61112-1019 · (815) 229-2500 · Fax (815) 316-1881

Phone(815) 229-2500

Fax(815) 398-9587

Organization SubpartNo

Authorized OfficialThomas L MichalsenPresident · (815) 229-2500

Enumeration DateJuly 26, 2006

Last NPPES UpdateAugust 13, 2008

✔ NPI 1013930353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedFamily MedicineTaxonomy 207Q00000X

1848 DAIMLER RD, Rockford, IL 61112

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Other Names 1

Doing Business AsD/b/a Cherry Valley Medical Clinic

Other Identifiers 2

Medicare UPINC42327IL

Medicare PIN745670IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0429570

Cherry Valley Medical Clinic · Rockford, IL

Active · expires Feb 9, 2028

CLIA Number14D0429570

Laboratory TypePhysician Office

Certificate Effective DateFebruary 10, 2026

Certificate Expiration DateFebruary 9, 2028

Laboratory DirectorCraig S. Michelsen

Laboratory Phone(815) 229-2500

Laboratory LocationCherry Valley Medical Clinic1848 Daimler Rd, Rockford, IL 61112

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARLSON ORTHOPEDIC CLINIC SC

Specialist