Elitecare Center, Llc

NPI 1053616656 - Chiropractor - 111N00000X

NPI Details
NPI 1053616656
Enumeration Date 01/13/2011
Last Updated 01/13/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name ROBIN RENEE ROBIN
Position EXECUTOR OF ESTATE
Phone (217) 877-8992
Fax (217) 877-8978
Practice Location
2870 N MAIN ST
DECATUR IL, 62526-3234, US
Phone (217) 877-8992
Fax (217) 877-8978
Business Location
2870 N MAIN ST
DECATUR IL, 62526-3234, US
Phone (217) 877-8992
Fax (217) 877-8978
Toxanomy
Taxonomy Code 111N00000X
License State Illinois
License Number 344604179
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According to our database, Elitecare Center, Llc NPI is 1053616656, taxonomy code is 111N00000X and license number is 344604179, license state is located at Illinois. Elitecare Center, Llc physically located at 2870 N Main St, Decatur IL, 62526-3234. NPI Number 1033115704 has the healthcare provider type.

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1053616656 NPI number is provided on an as is basis without warranty of any kind. 1053616656 is maintained by the National Plan & Provider Enumeration System. The contents of Elitecare Center, Llc are for informational purposes only.