OrganizationActive
Lake County Physicians Association
NPI 1134280753 · Health Maintenance Organization · Rockford, IL
Provider details
- NPI number
- 1134280753
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Victoria Welter, Director Full Service Unit(815) 490-6752
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
630 E Jefferson St
Rockford, IL 61107-4026
Phone: (815) 490-6752
Street-level locationGet directions
Mailing address
630 E Jefferson St
Rockford, IL 61107-4026
Registry dates
- Enumerated
- 2006-12-13
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.