Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alex Jordan Rembialkowski, PA-C

Individual provider Physician Assistant · NPI 1528577657

Alex Jordan Rembialkowski, PA-C is a Physician Assistant in Rockford, Illinois. Qualified in 2017, 9 years ago. Practices with Community Care Network Inc, a 374-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Indiana.

Years since qualifying
9
Licensed in
IL, IN
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1401 E State St
Rockford, IL 61104-2315
Phone: (414) 290-6720
Fax: (414) 290-6755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 801 S Milwaukee Ave, Libertyville, IL 60048-3204 — (414) 290-6720

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085.006336 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 10003987A (IN)

Record details

NPI number1528577657
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 20, 2017
Last updated in NPPESJune 21, 2023
Certification dateJune 21, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Community Care Network Inc — 374 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Rockford