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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053847186

Philip Carlson-Dexter, MD is a Family Practice in Rockford, Illinois. Qualified in 2017, 9 years ago. Practices with Swedishamerican Hospital, a 387-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2909 N Main St
Rockford, IL 61103-3100
Phone: (779) 696-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036151529 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 125-070084 (IL)

Record details

NPI number1053847186
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 10, 2017
Last updated in NPPESMarch 15, 2021
Certification dateMarch 15, 2021

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Swedishamerican Hospital — 387 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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