Active NPIIndividual provider

Carlos Aguero-Medina, MD

Family Medicine in Rockford, Illinois

NPI Number1053364349
Practice location
301 E State St, Rockford, IL 61104-1012
Fax
815-714-6219
Last updated
June 5, 2025

Carlos Aguero-Medina is a Family Medicine based in Rockford, IL. Carlos Aguero-Medina practices in Rockford, IL and has the professional credentials of MD. The NPI Number for Carlos Aguero-Medina is 1053364349 and holds a License No. 54638-20 (WI). The current practice location address for Carlos Aguero-Medina is 301 E State St, Rockford, IL 61104-1012 and can be reached out via phone at 815-668-7810 and via fax at 815-714-6219.

Provider Profile Details

NPI Number
1053364349
Provider Name
Carlos Aguero-Medina
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
301 E State St, Rockford, IL 61104-1012
Phone Number
815-668-7810
Fax Number
815-714-6219
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
May 18, 2006
Last Update Date
June 5, 2025
Certification Date
June 5, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
301 E State St
Rockford, IL 61104-1012
Zip
61104-1012
Phone Number
815-668-7810
Fax Number
815-714-6219
Rockford, IL 61104Get directions →

Provider Business Mailing Address Details

Address
Po Box 746715
Atlanta, GA 30374-6715
City
Atlanta
State
GA
Zip
30374-6715
Phone Number
773-352-1515
Fax Number
312-929-0374

License Information

License Number (1)
54638-20
License State (1)
WI
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
036115945
License State (2)
IL
Taxonomy (2)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Carlos Aguero-Medina, MD?

The NPI number of Carlos Aguero-Medina, MD is 1053364349. It was assigned on May 18, 2006 and is currently active in the NPPES registry.

What is the specialty of Carlos Aguero-Medina, MD?

Carlos Aguero-Medina, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in WI under license number 54638-20.

Where does Carlos Aguero-Medina, MD practice?

The practice location is 301 E State St, Rockford, IL 61104-1012. The office can be reached at 815-668-7810 (phone) or 815-714-6219 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053364349 directly on the NPPES registry website.

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