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Dr. Timothy Raymond Niedzielak, DO
Orthopedic Surgery Physician in Rockford, Illinois
NPI 1972028421

Timothy Raymond Niedzielak is a Orthopedic Surgery Physician based in Rockford, IL. Timothy Raymond Niedzielak practices in Rockford, IL and has the professional credentials of DO. The NPI Number for Timothy Raymond Niedzielak is 1972028421 and holds a License No. 5665 (Illinois).

The current practice location address for Timothy Raymond Niedzielak is 8201 E Riverside Blvd, Rockford, IL and can be reached out via phone at 815-971-7000 and via fax at 815-968-7830.

Location: 8201 E Riverside Blvd, Rockford, IL, 61114-2300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972028421
Provider Name
Timothy Raymond Niedzielak
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
8201 E Riverside Blvd, Rockford, IL, 61114-2300
Phone Number
815-971-7000
Fax Number
815-968-7830
Provider Enumeration Date
08/06/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8201 E Riverside Blvd
City
Rockford
State
Illinois
Zip
61114-2300
Phone Number
815-971-7000
Fax Number
815-968-7830
person
Provider Business Mailing Address Details
Address
8201 E Riverside Blvd
City
Rockford
State
Illinois
Zip
61114-2300
Phone Number
815-971-7000
Fax Number
815-968-7830
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
2022018519 (Missouri)
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Orthopedic Trauma
Taxonomy
207XX0801X
License No.
2022018519 (Missouri)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, orthopedic trauma surgeons deal with the evaluation and management of acute orthopedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
5665 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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