Search › Illinois › 208000000X
Omar Villarroel Fernandez, MD
NPI 1457325334 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1401 E State St
3rd Floor
Rockford, IL 61104 - Phone
- (912) 658-1155
- Organisation at this address
- Rosecrance Inc
Swedishamerican Hospital
Swedishamerican Hospital
Swedishamerican Hospital
Swedishamerican HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 161
Additional practice sites
- 751 Sappington Bridge Rd, Sullivan, MO
- 1055 N Curtis Rd, Boise, ID
- 11115 Parkview Plaza Dr, Fort Wayne, IN
Registry record
- Primary taxonomy
- 208000000X
208000000X
- Also registered as
- 208M00000X
208M00000X
208000000X
208M00000X
208000000X
208000000X
208000000X
208000000X
208M00000X - Licence states on file
- IL, MO, NC, ID, NM, GA, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-04-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois