OrganizationActive
Illinois Pathologist Services, LLC
NPI 1720218415 · Clinical Pathology/Laboratory Medicine Physician · Rockford, IL
Provider details
- NPI number
- 1720218415
- Entity type
- Organization
- Primary specialty
- Clinical Pathology/Laboratory Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Osf Healthcare System
- Organization subpart
- Yes
- Authorized official
- Diane Mcgrew, President, Osf Healthcare System(309) 655-2850
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
5666 E. State St
Rockford, IL 61108-2425
Phone: (815) 395-5116
Fax: (815) 395-5364
Street-level locationGet directions
Mailing address
124 Sw Adams St
Peoria, IL 61602-1320
Registry dates
- Enumerated
- 2009-07-16
- Last updated
- 2022-02-14
- Certified
- 2022-02-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.