1BODY4LIFE
NPI 1477897023
Non-Pharmacy Dispensing Site in Rockford, IL

Active since November 20, 2012
761 HIGHGROVE PL, ROCKFORD, IL 61108(815) 209-2525 Get Directions Write a Review

NPPES record last updated: November 20, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About 1body4life NPPES

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

1BODY4LIFE (NPI 1477897023) is a healthcare organization registered as a non-pharmacy dispensing site in Rockford, Illinois and active in the NPI registry since November 2012. The organization lists David S. Footerman, President, as its authorized official.

NPPES Registry Identity

NPI1477897023
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameLAKESIDE ANESTHESIOLOGY, S.C
Location Address761 HIGHGROVE PLRockford, IL 61108-2520
Mailing Address2980 N Beverly Glen Cir, Suite 301Los Angeles, CA 90077-1726 · (310) 474-9809
Organization SubpartYes
Authorized OfficialDavid S. FootermanPresident · (815) 209-2525
Enumeration DateNovember 20, 2012
NPI 1477897023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

761 HIGHGROVE PL, Rockford, IL 61108

Other Names 1

Doing Business As1body4life

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
761 HIGHGROVE PL
ROCKFORD, IL 61108
Nurse Practitioner
761 HIGHGROVE PL
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 Lakeside Anesthesiology, S.C's NPI number?

The NPI number for Lakeside Anesthesiology, S.C is 1477897023. It was assigned to this organization in the NPPES registry on November 20, 2012. The provider is doing business as 1body4life.

Where is Lakeside Anesthesiology, S.C located?

Lakeside Anesthesiology, S.C is located at 761 Highgrove Pl, Rockford, IL 61108. The listed phone number is (815) 209-2525.

What is Lakeside Anesthesiology, S.C's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Lakeside Anesthesiology, S.C was last updated on November 20, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.