GUSTAVO A. ESPINOSA MD – NPI #1114904620
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

GUSTAVO ESPINOSA is a radiologist located in ROCKFORD, IL. NPPES has assigned the NPI number 1114904620 to GUSTAVO ESPINOSA on December 27, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 18 years ago on Mar 18, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GUSTAVO ESPINOSA below.

NPI Profile for
GUSTAVO A. ESPINOSA

NPI Number
1114904620
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
GUSTAVO A. ESPINOSA
Credentials
MD
Primary location
3849 N PERRYVILLE ROAD
ROCKFORD, IL 61114
Phone: (815) 397-5554 Fax: (866) 914-7594
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)		 IL

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Order Durable Medical Equipment
  • Order Power Mobility Devices
Affiliations
GUSTAVO ESPINOSA is affiliated with the following medical group(s):
  • HOSPITAL
    • FAIRFIELD MEMORIAL HOSPITAL 1
      303 N W 11TH STREET
      FAIRFIELD, IL 62837
    • HARRISBURG MEDICAL CENTER
      100 DOCTOR WARREN TUTTLE DR
      HARRISBURG, IL 62946
    • HEARTLAND REGIONAL MEDICAL CENTER
      3333 W DEYOUNG
      MARION, IL 62959
    • MEMORIAL HOSPITAL
      1900 STATE ST
      CHESTER, IL 62233
    • WABASH GENERAL HOSPITAL 1
      1418 COLLEGE DRIVE
      MOUNT CARMEL, IL 62863

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