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

Dr. Roy El Koussa

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1518543065

Dr. Roy El Koussa is a Student in an Organized Health Care Education/Training Program in Rockford, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2021
Specialties on file
2
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Practice location Partly verified

Some contact details are missing from the federal record.

Mercyhealth Mulford 5970 Churchview Dr
Rockford, IL 61107-2574
Phone: (815) 971-2000
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Additional practice locations (1)

  • 5970 Churchview Dr, Rockford, IL 61107-2574 — (815) 971-8990

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036.168094 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1518543065
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 23, 2021
Last updated in NPPESJuly 3, 2024
Certification dateJune 25, 2024
Mailing address5124 Homestretch Dr, Loves Park, IL 61111-5392

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