NPI 1598398497
The Elitist Group
Practice location
- Address
- 2929 N Main Street, Rockford, IL 61103
- Phone
- (815) 847-0647
- Mailing address
- 7359 Shilllington Drive, Rockford, IL 61107
Authorised official
- Name
- Larry Gulley
- Title
- Owner
- Phone
- (815) 847-0647
Registered specialties
Home Health Aide
Primary
Registry record
- NPI
- 1598398497
- Entity type
- Organization
- NPI issued
- 19 Feb 2020
- Record last updated
- 19 Feb 2020
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.