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CEVENE CARE CLINIC INC NPI 1568580843


NPI Information

NPI: 1568580843
Provider Name: CEVENE CARE CLINIC, INC
Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 14D1094419

Address:
6451 E RIVERSIDE BLVD
#103
ROCKFORD, IL
ZIP 61114
Phone: (815) 639-9900
Get Directions

CEVENE CARE CLINIC, INC is a chiropractor in Rockford, IL. The provider is 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. CEVENE CARE CLINIC, INC NPI is 1568580843. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6451 E RIVERSIDE BLVD
#103
ROCKFORD, IL
ZIP 61114-421
Phone: (815) 639-9900
Fax: (815) 639-9860

The provider's authorized official is Angela Ruf .
The authorized official title is Manager and has the following contact phone number (815) 639-9900.

The CLIA number assigned to this NPI record is 14D1094419 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/26/2007 and was last updated on 4/18/2016.


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
1104100000XSocial Worker149009052ILLINOISNo
2111NR0400XChiropractorRehabilitation038009573ILLINOISNo
3207LP2900XAnesthesiologyPain Medicine336045953ILLINOISNo
4208D00000XGeneral Practice036118972ILLINOISNo
5213E00000XPodiatrist31602516ILLINOISNo
6213ES0103XPodiatristFoot & Ankle Surgery016005320ILLINOISNo
7225100000XPhysical Therapist0070009799ILLINOISNo
8111N00000XChiropractor038009573ILLINOISYes

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
1210693OTHERILLINOISMEDICARE GROUP #
26033220001MEDICARE NSCILLINOIS

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.