VILLAGE CHIROPRACTIC NPI 1245412998

NPI Information

VILLAGE CHIROPRACTIC is a respite care in Rockford, IL. VILLAGE CHIROPRACTIC NPI is 1245412998. The provider is registered as an organization entity type.
The provider Is Doing Business As Back In Shape Chiropractic And Wellness Center.

The provider's business location address is:

1639 N ALPINE RD
503
ROCKFORD, IL
ZIP 61107-449
Phone: (815) 398-3334
Fax: (815) 398-3469

The provider's authorized official is Keith B Potetti .
The authorized official title is Owner and has the following contact phone number (815) 398-3334.

The enumeration date for this NPI number is 12/4/2007 and was last updated on 12/4/2007.

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:

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