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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ELIZABETH A PICKVANCE, MD

Active

DR. ELIZABETH A PICKVANCE, MD is a Pediatric Orthopaedic Surgery healthcare provider located in ROCKFORD, Illinois. NPI 1508836107 is currently active in the NPPES registry. Verify at CMS.

Pediatric Orthopaedic Surgery · ROCKFORD, IL

Registration Details

NPI Number
1508836107
Provider Type
Individual
Gender
Female
NPI Issued
Jan 25, 2006 (20.561138177176 yrs)
Last Updated
Jul 21, 2022
Licenses
14838R (LA)
24215 (OK)
MD.14838R (LA)
036141771 (IL)

Practice Information

Address
2350 N ROCKTON AVE
ROCKFORD, IL, 611033600
Browse IL providers · Browse ZIP 61103
Phone
8159717400
Primary Specialty
Pediatric Orthopaedic Surgery
207XP3100X
Additional Specialty
Orthopaedic Surgery
Additional Specialty
Orthopaedic Surgery
Additional Specialty
Pediatric Orthopaedic Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.