Elite Rehabilitation Institute Braidwood LLC

NPI #1003105495 in Braidwood, Illinois

Provider Information

NPI Number: 1003105495
Entity Type: Organization
Organization Name: Elite Rehabilitation Institute Braidwood LLC
Primary Specialty: Chiropractor
Enumeration Date: Apr 6, 2011
Last Updated: Jun 29, 2011

Practice Location

Address: 180 E MAIN ST
City: Braidwood
State: Illinois
ZIP Code: 60408-1912
Phone: (815) 458-2225

Authorized Official

Name: DR. ANTHONY M PIRIE, D.C.
Title: OWNER
Phone: (815) 458-2225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Chiropractor	111N00000X	Primary

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