ROCKFORD SURGICAL SERVICE, S.C.
NPI 1073679411
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Rockford, IL

Active since December 29, 2006
5668 E STATE ST, SUITE1000, ROCKFORD, IL 61108(815) 397-7900(815) 397-7919 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Rockford Surgical Service, S.c. NPPES

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

ROCKFORD SURGICAL SERVICE, S.C. (NPI 1073679411) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Rockford, Illinois and active in the NPI registry since December 2006. The organization lists Leslie P Edgcomb, President, as its authorized official.

NPPES Registry Identity

NPI1073679411
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NameROCKFORD SURGICAL SERVICE, S.C.
Location Address5668 E STATE ST, SUITE1000Rockford, IL 61108-2490
Mailing Address5668 E State St, Suite1000Rockford, IL 61108-2490 · (815) 397-7900 · Fax (815) 397-7919
Fax(815) 397-7919
Organization SubpartNo
Authorized OfficialLeslie P EdgcombPresident · (815) 397-7900
Enumeration DateDecember 29, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1073679411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgeryTaxonomy 208600000X
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 04200060 (IL)
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
Also ListedColon & Rectal SurgeryTaxonomy 208C00000X
5668 E STATE ST, Rockford, IL 61108

Other Identifiers 2

Other10115298IL · Blue Shield
Other96719IL · Rail Road Medicare

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 20

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

Thoracic Surgery (Cardiothoracic Vascular Surgery)
5668 E STATE ST, SUITE 1000
ROCKFORD, IL 61108
Surgery
5668 E STATE ST
ROCKFORD, IL 61108
Surgery
5668 E STATE ST, #2
ROCKFORD, IL 61108
Psychiatry & Neurology (Neurology)
5668 E STATE ST, SUITE 2700
ROCKFORD, IL 61108
Psychiatry & Neurology (Neurology)
5668 E STATE ST, SUITE 2700
ROCKFORD, IL 61108
Orthopaedic Surgery
5668 E STATE ST, SUITE 400
ROCKFORD, IL 61108
Surgery
5668 E STATE ST
ROCKFORD, IL 61108
Surgery
5668 E STATE ST, SUITE 1000
ROCKFORD, IL 61108

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rockford Surgical Service, S.C.'s NPI number?

The NPI number for Rockford Surgical Service, S.C. is 1073679411. It was assigned to this organization in the NPPES registry on December 29, 2006.

Where is Rockford Surgical Service, S.C. located?

Rockford Surgical Service, S.C. is located at 5668 E State St Suite1000, Rockford, IL 61108. The listed phone number is (815) 397-7900.

What is Rockford Surgical Service, S.C.'s specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

When was this NPI record last updated?

The NPPES record for Rockford Surgical Service, S.C. was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.