Organization · Type 2 NPI
Revive Chiropractic Wellness Center, Inc
Chiropractor · Rockford, IL
NPI number
1316586134
Active
Practice location
5875 E Riverside Blvd Ste 115
Rockford, IL 61114-4937
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | None listed |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1316586134
Revive Chiropractic Wellness Center, Inc's National Provider Identifier is 1316586134, issued on Dec 26, 2019. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Rockford, IL. The record was last updated on Dec 26, 2019.