Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Edgebrook Dermatology, PC

Organization Dermatology Physician · NPI 1710049234

Edgebrook Dermatology, PC is a Dermatology Physician in Rockford, Illinois. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1639 N Alpine Rd
Rockford, IL 61107-1449
Phone: (815) 229-9333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1710049234
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Albasha — President · (815) 229-9333
NPI enumeratedDecember 14, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 1686, Rockford, IL 61110-0186

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