Rehabilitation & Spinal Care Of Rockford Sc

NPI 1124307301 - Chiropractor - 111N00000X

NPI Details
NPI 1124307301
Enumeration Date 08/05/2011
Last Updated 08/30/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name MICHAEL TIMOTHY MICHAEL
Position OWNER/OPERATOR/PRESIDENT
Phone (815) 394-0309
Fax (815) 394-0310
Practice Location
483 N MULFORD RD
SUITE 7
ROCKFORD IL, 61107-5191, US
Phone (815) 394-0309
Fax (815) 394-0310
Business Location
483 N MULFORD RD
SUITE 7
ROCKFORD IL, 61107-5191, US
Phone (815) 394-0309
Fax (815) 394-0310
Toxanomy
Taxonomy Code 111N00000X
License State Illinois
License Number 038.011639
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According to our database, Rehabilitation & Spinal Care Of Rockford Sc NPI is 1124307301, taxonomy code is 111N00000X and license number is 038.011639, license state is located at Illinois. Rehabilitation & Spinal Care Of Rockford Sc physically located at 483 N Mulford Rd, Rockford IL, 61107-5191. NPI Number 1033115704 has the healthcare provider type.

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1124307301 NPI number is provided on an as is basis without warranty of any kind. 1124307301 is maintained by the National Plan & Provider Enumeration System. The contents of Rehabilitation & Spinal Care Of Rockford Sc are for informational purposes only.