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

Rockford Dermatology SC

Organization Dermatology Physician · NPI 1487751335

Rockford Dermatology SC is a Dermatology Physician in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
Specialties on file
2

Practice location Address checks out

4338 Morsay Dr
Rockford, IL 61107-4877
Phone: (815) 399-6400
Fax: (815) 399-4424
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 042617821 (IL)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 042617821 (IL)

Record details

NPI number1487751335
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lakimerly Coates — President · (815) 399-6400
NPI enumeratedSeptember 20, 2006
Last updated in NPPESFebruary 19, 2018
Mailing address4338 Morsay Dr, Rockford, IL 61107-4877

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