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WESLEY WILLOWS OUTPATIENT REHAB CLINIC
NPI 1558538967
Clinic/Center - Rehabilitation in Rockford, IL

Active since May 14, 2008CLIA 14D0875828 · Waiver
4143 ALBRIGHT LANE, ROCKFORD, IL 61103(815) 316-1518 Get Directions Write a Review

NPPES record last updated: May 14, 2008. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Wesley Willows Outpatient Rehab Clinic NPPES

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

WESLEY WILLOWS OUTPATIENT REHAB CLINIC (NPI 1558538967) is a healthcare organization registered as a rehabilitation in Rockford, Illinois and active in the NPI registry since May 2008. The organization holds a CLIA Waiver certificate valid through September 1, 2027 and lists Mark A Ticknor, Cfo, as its authorized official.

NPPES Registry Identity

NPI1558538967
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameWILLOWS HEALTH CENTER
Location Address4143 ALBRIGHT LANERockford, IL 61103
Mailing Address4141 N Rockton AveRockford, IL 61103-1524 · (815) 316-1518
Phone(815) 316-1518
Organization SubpartNo
Authorized OfficialMark A TicknorCfo · (815) 316-1518
Enumeration DateMay 14, 2008
✔ NPI 1558538967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
4143 ALBRIGHT LANE, Rockford, IL 61103
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Other Names 1

Other NameWesley Willows Outpatient Rehab Clinic

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 14D0875828

Willows Health Center · Rockford, IL
Active · expires Sep 1, 2027
CLIA Number14D0875828
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 2, 2025
Certificate Expiration DateSeptember 1, 2027
Laboratory DirectorCarole Zull
Laboratory Phone(815) 654-2534
Laboratory LocationWillows Health Center4054 Albright Lane, Rockford, IL 61103
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Willows Health Center's NPI number?

The NPI number for Willows Health Center is 1558538967. It was assigned to this organization in the NPPES registry on May 14, 2008. The provider is also known as Wesley Willows Outpatient Rehab Clinic.

Where is Willows Health Center located?

Willows Health Center is located at 4143 Albright Lane, Rockford, IL 61103. The listed phone number is (815) 316-1518.

What is Willows Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

Does Willows Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0875828) is associated with this NPI, valid through September 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Willows Health Center was last updated on May 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.