INNOVAMED VEINS SC
NPI 1063652873
Internal Medicine in Rockford, IL

Q: What is Innovamed Veins Sc's NPI number?

The NPI number for Innovamed Veins Sc is 1063652873. It was assigned to this organization in the NPPES registry on March 6, 2009.

Q: What is Innovamed Veins Sc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since March 06, 2009

2601 N MAIN ST, ROCKFORD, IL 61103(815) 987-1802(815) 987-1806 Get Directions Write a Review

NPPES record last updated: June 4, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Innovamed Veins Sc NPPES

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

INNOVAMED VEINS SC (NPI 1063652873) is a healthcare organization registered as an internal medicine in Rockford, Illinois and active in the NPI registry since March 2009. The organization lists Tracy C Brito, Owner, as its authorized official.

NPPES Registry Identity

NPI1063652873

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameINNOVAMED VEINS SC

Location Address2601 N MAIN STRockford, IL 61103-3110

Mailing Address2601 N Main StRockford, IL 61103-3110 · (815) 987-1802 · Fax (815) 987-1806

Phone(815) 987-1802

Fax(815) 987-1806

Organization SubpartNo

Authorized OfficialTracy C BritoOwner · (815) 987-1802

Enumeration DateMarch 6, 2009

Last NPPES UpdateJune 4, 2009

✔ NPI 1063652873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IL · 036074111

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPhlebologyTaxonomy 202K00000X · License 036074111 (IL)

2601 N MAIN ST, Rockford, IL 61103

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Other Identifiers 3

Medicare PINK06351IL

Medicaid036074111IL

Medicare UPIND16246IL

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

Other Providers at the Same Location NPPES 5

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

SUSAN J DEGUIDE M.D.

Internal Medicine