Rockford Wellness Corporation SC

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

038010875 Issued in IL

Legal business name

ROCKFORD WELLNESS CORPORATION SC

Practice address

6019 Fincham Road
Rockford, IL 61108

Phone

(815) 708-0125

Fax

(815) 316-1069

NPI assigned

Mar 9, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly S Osborne, DC

Title

President/Owner

Phone

(815) 708-0125

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1285909200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6019 FINCHAM ROAD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "61108",
            "telephone_number": "815-708-0125",
            "fax_number": "815-316-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6019 FINCHAM ROAD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "61108",
            "telephone_number": "815-708-0125",
            "fax_number": "815-316-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKFORD WELLNESS CORPORATION SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-09",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "815-708-0125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Internist",
            "state": "IL",
            "license": "038010875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rockford Surgical Service, S.C.
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• Rockford Visions Optical, LLC
• Rockford Wellness Associates, SC
• Rockfordctd LLC
• Rockriver Dental LLC
• Angela M Rodriguez Tormes, MD
• Aleida Rodriguez
• Danielle Suzanne Rodriguez, APRN

• Internist Chiropractor in Rockford, IL
• Providers in Rockford, IL by specialty
• Internist Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.