Elitecare Center, LLC
Chiropractor in Decatur, IL. Organization (NPI-2).
NPI number1053616656
StatusActive
Last updated in NPPESJan 13, 2011
Details
- NPI
- 1053616656
- Entity type
- Organization (NPI-2)
- Legal business name
- Elitecare Center, LLC
- Organization subpart
- No
- Enumeration date
- Jan 13, 2011
- Last updated
- Jan 13, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 344604179 | IL | Yes |
Practice location
2870 N Main StDecatur, IL 62526-3234
Phone 217-877-8992 · Fax 217-877-8978
Mailing address
2870 N Main StDecatur, IL 62526-3234
Phone 217-877-8992 · Fax 217-877-8978
Authorized official
Robin Renee Niehaus
Executor Of Estate
2178778992
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All 32 Chiropractor providers in Decatur · All 1,941 providers in Decatur
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