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TINA R. ENTWISTLE, D.P.M., P.C.
NPI 1740463678
Podiatrist - Foot & Ankle Surgery in Rockford, IL

Active since December 13, 2007
6778 MILL RD, SUITE 100, ROCKFORD, IL 61108(815) 227-0041 Get Directions Write a Review

NPPES record last updated: January 11, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tina R. Entwistle, D.p.m., P.c. NPPES

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

TINA R. ENTWISTLE, D.P.M., P.C. (NPI 1740463678), doing business as Tina R. Entwistle, D.p.m., S.c., is a healthcare organization registered as a foot & ankle surgery in Rockford, Illinois and active in the NPI registry since December 2007. The organization lists Tina Renee Entwistle, President, as its authorized official.

NPPES Registry Identity

NPI1740463678
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameTINA R. ENTWISTLE, D.P.M., P.C.
Location Address6778 MILL RD, SUITE 100Rockford, IL 61108-2502
Mailing Address6778 Mill Rd, Suite 100Rockford, IL 61108-2502
Phone(815) 227-0041
Organization SubpartNo
Authorized OfficialTina Renee EntwistlePresident · (815) 227-0041
Enumeration DateDecember 13, 2007
Last NPPES UpdateJanuary 11, 2011
✔ NPI 1740463678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in IL · 016-005194
6778 MILL RD, Rockford, IL 61108
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Other Names 1

Former Legal Business NameTina R. Entwistle, D.p.m., S.c.

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. TINA RENEE ENTWISTLE D.P.M.
Podiatrist (Foot & Ankle Surgery)
6778 MILL RD, SUITE 100
ROCKFORD, IL 61108
Winnebago County (815) 227-0041

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 Tina R. Entwistle, D.P.M., P.C.'s NPI number?

The NPI number for Tina R. Entwistle, D.P.M., P.C. is 1740463678. It was assigned to this organization in the NPPES registry on December 13, 2007. The provider was formerly known as Tina R. Entwistle, D.P.M., S.C..

Where is Tina R. Entwistle, D.P.M., P.C. located?

Tina R. Entwistle, D.P.M., P.C. is located at 6778 Mill Rd Suite 100, Rockford, IL 61108. The listed phone number is (815) 227-0041.

What is Tina R. Entwistle, D.P.M., P.C.'s specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Tina R. Entwistle, D.P.M., P.C. was last updated on January 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.