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SPINAL REHABILITATION AND WELLNESS CLINIC LLC NPI 1376789545


NPI Information

NPI: 1376789545
Provider Name: SPINAL REHABILITATION AND WELLNESS CLINIC, LLC

Doing Business As: NECK TO BACK MEDICAL CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
7177 CRIMSON RIDGE DR
STE 7
ROCKFORD, IL
ZIP 61107
Phone: (815) 227-9900
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SPINAL REHABILITATION AND WELLNESS CLINIC, LLC is a family medicine in Rockford, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SPINAL REHABILITATION AND WELLNESS CLINIC, LLC NPI is 1376789545. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Neck To Back Medical Clinic.

The provider's business location address is:

7177 CRIMSON RIDGE DR
STE 7
ROCKFORD, IL
ZIP 61107-235
Phone: (815) 227-9900
Fax: (815) 227-9804

The provider's authorized official is Don Hinderliter .
The authorized official title is Medical Director and has the following contact phone number (815) 227-9900.

The enumeration date for this NPI number is 12/18/2008 and was last updated on 12/18/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor038003512ILLINOISNo
2111NR0400XChiropractorRehabilitation038009573ILLINOISNo
3207Q00000XFamily Medicine036037810ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U88386MEDICARE UPINILLINOIS
2T35293MEDICARE UPINILLINOIS
3C37090MEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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