Rockford Wellness Associates, SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038010875 Issued in IL

Legal business name

ROCKFORD WELLNESS ASSOCIATES, SC

Practice address

6019 Fincham Dr
Rockford, IL 61108-2550

Phone

(815) 708-0125

Fax

(815) 316-1069

NPI assigned

Aug 28, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly Williams, DCNPI 1700937307

Title

Owner / President

Phone

(815) 708-0125

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Sue Williams, D.C.

  • Internist Chiropractor
  • Rockford, IL
  • NPI 1700937307
  Authorized official Same address or phone

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1437676731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6019 FINCHAM DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082550",
            "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 DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082550",
            "telephone_number": "815-708-0125",
            "fax_number": "815-316-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKFORD WELLNESS ASSOCIATES, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "815-708-0125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "209011343",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rockford Supportive Living
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• Rockford University
• Rockford Urological Associates, LTD.
• Rockford Visions Optical, LLC (New Vision Optical)
• Rockford Wellness Corporation SC
• Rockfordctd LLC
• Rockriver Dental LLC
• Angela M Rodriguez Tormes, MD
• Aleida Rodriguez

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.