NPI 1003105495

Elite Rehabilitation Institute Braidwood LLC

Organisation Chiropractor Braidwood, IL

Practice location

Address: 180 E Main St, Braidwood, IL 60408-1912
Phone: (815) 458-2225
Fax: (815) 458-9825

Authorised official

Name: Anthony M Pirie
Title: Owner
Phone: (815) 458-2225

Registered specialties (2)

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 038009041 (IL)

Other Chiropractor providers in Illinois →

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 070013955 (IL)

Other Physical Therapist providers in Illinois →

Registry record

NPI: 1003105495
Entity type: Organization
NPI issued: 6 Apr 2011
Record last updated: 29 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.