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

Dr. Edmond Mertzenich, DPM

Individual provider Podiatrist · NPI 1558344598

Dr. Edmond Mertzenich, DPM is a Podiatry in Rockford, Illinois. Graduated from William M. Scholl College of Podiatric Medicine in 1985, 41 years ago. Practices with Crusaders Central Clinic Association, a 33-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
41
Trained at
William M. Scholl College of Podiatric Medicine
Licensed in
IL
In the registry since
2005
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1200 W State St
Rockford, IL 61102-2112
Phone: (815) 490-1600
Fax: (815) 490-1485
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 016003825 (IL)

Record details

NPI number1558344598
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedNovember 23, 2005
Last updated in NPPESJuly 30, 2012

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolWILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduated 1985 (41 years in practice)
Group practice Crusaders Central Clinic Association — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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