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

DR. TIMOTHY RAYMOND NIEDZIELAK, DO

Active

DR. TIMOTHY RAYMOND NIEDZIELAK, DO is a Orthopaedic Surgery healthcare provider located in ROCKFORD, Illinois. NPI 1972028421 is currently active in the NPPES registry. Verify at CMS.

Orthopaedic Surgery · ROCKFORD, IL

Registration Details

NPI Number
1972028421
Provider Type
Individual
Gender
Male
NPI Issued
Aug 6, 2017 (8.8365576113869 yrs)
Last Updated
Sep 12, 2023
Licenses
5665 (FL)
2022018519 (MO)
2022018519 (MO)
5665 (FL)
036165587 (IL)

Practice Information

Address
8201 E RIVERSIDE BLVD
ROCKFORD, IL, 611142300
Browse IL providers · Browse ZIP 61114
Phone
8159717000
Fax
8159687830
Primary Specialty
Orthopaedic Surgery
207X00000X
Additional Specialty
Orthopaedic Surgery
Additional Specialty
Orthopaedic Trauma
Additional Specialty
Orthopaedic Surgery

Other Orthopaedic Surgery Providers in ROCKFORD, IL

Name Credential NPI
DEAN T FOCHIOS MD 1801899935
MARK E HASTINGS MD 1477553659
CHRISTOPHER A GREEN MD 1326048547
ANDREAS J FISCHER MD 1235139452
MARC A ZUSSMAN MD 1255327326
DAVID L MCCARTY MD 1295722650
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.