QC Wellness Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

QC WELLNESS CENTER, LLC

Practice address

1535 47TH Ave
Suite 5
Moline, IL 61265-7088

Phone

(309) 797-4203

Fax

(309) 797-4205

NPI assigned

May 25, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Carla Sullivan, D.C.

Title

Owner

Phone

(309) 797-4203

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1982964763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 47TH AVE",
            "address_2": "SUITE 5",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657088",
            "telephone_number": "309-797-4203",
            "fax_number": "309-797-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 47TH AVE",
            "address_2": "SUITE 5",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657088",
            "telephone_number": "309-797-4203",
            "fax_number": "309-797-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QC WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-25",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-797-4203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vijay Rock Puri, DC
• Srinivasan S Purighalla, MD
• Maytham Falah Qaisi
• QC Cpap Direct, LLC
• QC OBGYN Associates SC
• Quad Cities Autism Center Inc.
• Quad Cities Eye Care, LLC
• Quad Cities Intervention Services
• Quad Cities Kidney Center, LTD.
• Quad Cities Mental Health

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.