Bottros, John J.

Bottros, John J. is an individual health care provider with primary practice located at 5875 E Riverside Blvd , Rockford IL 61114-4937. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Bottros, John J. can be contacted via phone (815) 398-9491.

Contact Information

Primary practice address
5875 E Riverside Blvd Rockford IL 61114-4937
Phone: (815) 398-9491
Fax: (815) 381-7498
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 036128556 Illinois
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036128556 Illinois

Profile Details

NPI number 1467635524
LBN Legal business name Bottros, John J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2007
Last updated Aug 3rd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467635524 NPPES
Illinois MEDICAID 036128556

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