Wellness Way Rockford LLC
Organization Active NPI Chiropractor · Rockford, IL
NPI 1104359066 · NPPES record last updated Jul 6, 2017
Key facts
- NPI
- 1104359066
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- WELLNESS WAY ROCKFORD LLC
- Practice address
- 329 Amphitheater Dr
Rockford, IL 61107-6662 - Phone
- (217) 274-9029
- NPI assigned
- Apr 7, 2017
- Organization subpart
- No
Authorized official
- Name
- Patrick Flynn, DC
- Title
- Owner
- Phone
- (920) 660-7877
Practitioners 1
-
Patrick Michael Flynn, D.C.
National Provider Directory
Locations
329 Amphitheater Dr
Rockford, IL 61107
Phone (217) 274-9029
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
329 Amphitheater Dr
Rockford, IL 61107-6662
Mailing address
329 Amphitheater Dr
Rockford, IL 61107-6662
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.