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LESLIE PAUL EDGCOMB M.D.
NPI 1629014022
Surgery - Vascular Surgery in Rockford, IL

Active since June 22, 2006
5668 E STATE ST, ROCKFORD, IL 61108(815) 229-7580 Get Directions Write a Review

NPPES record last updated: October 6, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Leslie Paul Edgcomb M.d. NPPES

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

LESLIE PAUL EDGCOMB M.D. (NPI 1629014022) is an individual vascular surgery provider in Rockford, Illinois, licensed in Illinois (036072104) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1629014022
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameLESLIE PAUL EDGCOMBCredential: M.D.
Location Address5668 E STATE STRockford, IL 61108-2464
Mailing Address5668 E State StRockford, IL 61108-2464 · (815) 229-7580
Phone(815) 229-7580
Sole ProprietorNo
Enumeration DateJune 22, 2006
Last NPPES UpdateOctober 6, 2015
✔ NPI 1629014022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in IL · 036072104
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
5668 E STATE ST, Rockford, IL 61108
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Other Identifiers 5

Medicare ID-Type Unspecified747120
Medicaid30696600WI
Medicaid036072104IL
Other020017328Railroad Medicare
Medicare UPINA75172

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.

DR. DAVID G CABLE M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
5668 E STATE ST, SUITE 1000
ROCKFORD, IL 61108
Winnebago County (815) 397-7900
JEFFREY ANDREW BARTEAU M.D.
Surgery
5668 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 229-7580
DACIA AURELIA PICKERING M.D.
Surgery
5668 E STATE ST, #2
ROCKFORD, IL 61108
Winnebago County (815) 397-7900
ROCKFORD SURGICAL SERVICE, S.C.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
5668 E STATE ST, SUITE1000
ROCKFORD, IL 61108
Winnebago County (815) 397-7900
REGINA B BIELKUS MD
Psychiatry & Neurology (Neurology)
5668 E STATE ST, SUITE 2700
ROCKFORD, IL 61108
Winnebago County (815) 226-1906
MOHAMMED S AFZAL
Psychiatry & Neurology (Neurology)
5668 E STATE ST, SUITE 2700
ROCKFORD, IL 61108
Winnebago County (815) 226-1906
ANDREAS J FISCHER MD
Orthopaedic Surgery
5668 E STATE ST, SUITE 400
ROCKFORD, IL 61108
Winnebago County (815) 398-7755
MARY E KELLER M.D.
Surgery
5668 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 229-7580

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 Leslie Edgcomb's NPI number?

The NPI number for Leslie Edgcomb is 1629014022. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Leslie Edgcomb located?

Leslie Edgcomb practices at 5668 E State St, Rockford, IL 61108. The listed phone number is (815) 229-7580.

What is Leslie Edgcomb's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Leslie Edgcomb was last updated on October 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.