Dr. John J. Bottros
Orthopaedic Surgeon Adult Reconstructive Orthopaedic Surgeon
5875 E Riverside Blvd
Rockford
, Illinois 61114-4937
Dr. John J. Bottros
Orthopaedic Surgeon Adult Reconstructive Orthopaedic Surgeon
5875 E Riverside Blvd
Rockford
, Illinois 61114-4937
(815) 381-7498
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About
Features
Specialties
- Orthopaedic Surgeon
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. John J. Bottros
- Box 78534
- Milwaukee, WI
- Zip : 53278
- Fax : (815) 381-7498
- Phone : (815) 398-9491
Second Address
- Dr. John J. Bottros
- 5875 E Riverside Blvd
- Rockford, IL
- Zip : 61114-4937
- Fax : (815) 381-7498
- Phone : (815) 398-9491
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | 036128556 | IL |
| N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 036128556 | IL |
National Provider Identifier
| NPI | 1467635524 |
|---|---|
| Provider Name | Dr. John J. Bottros |
| First Address | Milwaukee, WI 53278 |
| Second Address | Rockford, IL 61114-4937 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/12/2007 |
| Last Update Date | 17/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036128556 | (05) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.