Organization Active NPI

Rehabilitation & Spinal Care of Rockford SC

  • Chiropractor
  • Rockford, IL
National Provider Identifier
1124307301
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.011639 Issued in IL
Legal business name
REHABILITATION & SPINAL CARE OF ROCKFORD SC
Practice address
483 N Mulford Rd
Suite 7
Rockford, IL 61107-5191
Phone
(815) 394-0309
Fax
(815) 394-0310
NPI assigned
Aug 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael Timothy Donohue, D.C.
Title
Owner/Operator/President
Phone
(815) 394-0309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038.011639 IL Primary

Addresses

Primary practice location

483 N Mulford Rd
Suite 7
Rockford, IL 61107-5191

Mailing address

483 N Mulford Rd
Suite 7
Rockford, IL 61107-5191
Phone (815) 394-0309

National Provider Directory

National Provider Directory

Locations

2595 N Mulford Rd
Rockford, IL 61114
Phone (815) 394-0309

483 N Mulford Rd
Ste 7
Rockford, IL 61107
Phone (815) 394-0309

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1124307301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 N MULFORD RD",
            "address_2": "SUITE 7",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075191",
            "telephone_number": "815-394-0309",
            "fax_number": "815-394-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 N MULFORD RD",
            "address_2": "SUITE 7",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075191",
            "telephone_number": "815-394-0309",
            "fax_number": "815-394-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION & SPINAL CARE OF ROCKFORD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-05",
        "last_updated": "2011-08-30",
        "status": "A",
        "authorized_official_last_name": "DONOHUE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER/OPERATOR/PRESIDENT",
        "authorized_official_telephone_number": "815-394-0309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.