Spinal Rehabilitation and Wellness Clinic, LLC

NPI #1376789545 in Rockford, Illinois

Provider Information

NPI Number: 1376789545
Entity Type: Organization
Organization Name: Spinal Rehabilitation and Wellness Clinic, LLC
Primary Specialty: Family Medicine
Enumeration Date: Dec 18, 2008
Last Updated: Dec 18, 2008

Practice Location

Address: 7177 CRIMSON RIDGE DR
Address 2: STE 7
City: Rockford
State: Illinois
ZIP Code: 61107-6235
Phone: (815) 227-9900

Authorized Official

Name: DR. DON HINDERLITER, M.D.
Title: MEDICAL DIRECTOR
Phone: (815) 227-9900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X
Chiropractor - Rehabilitation — Rehabilitation	111NR0400X
Family Medicine	207Q00000X	Primary

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