NPI 1023206265

Progressive Chiropractic Wellness & Rehab Centre, P.C.

Organisation Point of Service Loves Park, IL

Practice location

Address: 6270 E Riverside Blvd, Loves Park, IL 61111-4418
Phone: (815) 636-2225

Authorised official

Name: Aaron Woodyatt
Title: Owner
Phone: (815) 636-2225

Registered specialties (2)

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 038009877 (IL)

Other Point of Service providers in Illinois →

Point of Service

Managed Care Organizations Taxonomy 305S00000X Licence 038009629 (IL)

Registry record

NPI: 1023206265
Entity type: Organization
NPI issued: 12 Oct 2007
Record last updated: 28 Oct 2008

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.