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DR. CHARLES SCOTT DEHAAN M.D.
NPI 1144392499
Family Medicine in Rockford, IL

Active since November 14, 2006
124 N WATER ST, 208, ROCKFORD, IL 61107(815) 312-5810(815) 312-5811 Get Directions Write a Review

NPPES record last updated: December 2, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Charles Scott Dehaan M.d. NPPES

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

DR. CHARLES SCOTT DEHAAN M.D. (NPI 1144392499) is an individual family medicine provider in Rockford, Illinois, licensed in Illinois (036-064615) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1144392499
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CHARLES SCOTT DEHAANCredential: M.D.
Location Address124 N WATER ST, 208Rockford, IL 61107-3960
Mailing Address124 N Water St, 208Rockford, IL 61107-3960 · (815) 312-5810 · Fax (815) 312-5811
Phone(815) 312-5810
Fax(815) 312-5811
Sole ProprietorNo
Enumeration DateNovember 14, 2006
Last NPPES UpdateDecember 2, 2013
✔ NPI 1144392499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036-064615
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
124 N WATER ST, Rockford, IL 61107
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Other Identifiers 1

Medicare UPINC44289

Other Providers at the Same Location NPPES

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

HOUSECALL PHYSICIANS GROUP OF ROCKFORD S C
Family Medicine
124 N WATER ST, SUITE 208
ROCKFORD, IL 61107
Winnebago County (815) 312-5810

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 Charles Dehaan's NPI number?

The NPI number for Charles Dehaan is 1144392499. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Charles Dehaan located?

Charles Dehaan practices at 124 N Water St 208, Rockford, IL 61107. The listed phone number is (815) 312-5810.

What is Charles Dehaan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Charles Dehaan was last updated on December 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.