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

DR. JAMES MELVIN SEVERSON III, MD

Active Sole Proprietor

Specialist · ROCKFORD, IL

Registration Details

NPI Number
1518912765
Provider Type
Individual
Gender
Male
NPI Issued
May 24, 2006 (19.941151715757 yrs)
Last Updated
Sep 25, 2007
Sole Proprietor
Yes

Practice Information

Address
435 N MULFORD RD
SUITE 10
ROCKFORD, IL, 611075189
Browse IL providers · Browse ZIP 61107
Phone
8153995268
Fax
8153993623
Primary Specialty
Specialist
174400000X

Other Specialist Providers in ROCKFORD, IL

Name Credential NPI
ALFRED R HUYOUNG MD 1306849989
DR. WILLIAM N GEORGIS M.D. 1508865692
DR. GARY D RIFKIN M.D. 1245239284
SUSAN C STEVENSON MS, ATC/L 1962470013
DR. ANN AGUSTSSON MATHERS D.O. 1417912411
DR. MARK EDWIN CARLSON MD 1790741049
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.