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

Psychiatric Clinics of Northern Illinois PC

Organization Psychiatry Physician · NPI 1679605737

Psychiatric Clinics of Northern Illinois PC is a Psychiatry Physician in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
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) 229-7227
Fax: (815) 229-7288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 036079335 (IL)

Record details

NPI number1679605737
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sam Azar — Office Manager · (815) 229-7227
NPI enumeratedMarch 12, 2007
Last updated in NPPESJuly 1, 2009
Mailing address1639 N Alpine Rd, Rockford, IL 61107-1449

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