Andino Chiropractic
Chiropractor in Rockford, IL. Organization (NPI-2).
NPI number1285873927
StatusActive
Last updated in NPPESFeb 19, 2009
Details
- NPI
- 1285873927
- Entity type
- Organization (NPI-2)
- Legal business name
- Andino Chiropractic
- Organization subpart
- No
- Enumeration date
- Feb 19, 2009
- Last updated
- Feb 19, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 038009900 | IL | Yes |
| 111NP0017X | Chiropractor, Pediatric Chiropractor | 038010991 | IL |
Practice location
2846 Langstone DrRockford, IL 61109-1771
Phone 815-397-7889
Mailing address
2846 Langstone DrRockford, IL 61109-1771
Phone 815-397-7889
Authorized official
Robert Andino
Owner
8153977889
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