ELITE SPINE & WELLNESS CENTER, INC (NPI# 1568069805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568069805 |
| Entity Type | Organization |
| Organization Name | ELITE SPINE & WELLNESS CENTER, INC |
| Practice Address |
5898 Pathfinder Rd Rockford IL 61109-4008 |
| Practice Telephone | 8159887831 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |
| Authorized Official Name | BRITTANY MCMULLEN (OWNER) |
| Authorized Official Telephone | 1815988783 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
5898 PATHFINDER RD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61109-4008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487164398 | Linda A Morel | Speech-Language Pathologist | 6129 Valley Knoll Drive, Rockford, IL 61109 | 2017-10-05 |
| 1841720315 | Activate Healthcare - Local 23 Clinic | Clinic/Center | 3413 Colony Bay, Rockford, IL 61109 | 2017-06-15 |
| 1255430062 | Suzanne E. Wang | Nurse Practitioner | 4940 East State Street, Rockford Veterans Administration Out Patient Clinic, Rockford, IL 61109 | 2006-09-21 |
| 1073597498 | Peter Joseph Gunther | Optometrist | 2995 Eastrock Dr, Rockford, IL 61109 | 2005-11-30 |
| 1104482769 | Catherine L Hill | Nurse's Aide | 2831 Bildahl St, Rockford, IL 61109-1136 | 2019-05-18 |
| 1962671701 | Rosecrance, Inc. | Substance Abuse Rehabilitation Facility | 3522 Green Dale Dr, Rockford, IL 61109-1575 | 2008-02-26 |
| 1326174665 | Lloyd Hearing Aid Corp | Hearing Instrument Specialist | 4435 Manchester Dr, Rockford, IL 61109-1655 | 2007-02-23 |
| 1710965439 | Gary Michael Briden | Family Medicine | 4423 Manchester Dr, Rockford, IL 61109-1655 | 2006-01-03 |
| 1386092625 | Andrew Palmquist | Hearing Instrument Specialist | 4435 Manchester Dr, Rockford, IL 61109-1655 | 2016-05-26 |
| 1851324289 | Reginald Dinan Quart | Family Medicine | 4423 Manchester Dr, Rockford, IL 61109-1655 | 2006-07-09 |
| Find all providers in zip 61109 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932227931 | Osborne Wellness Center, Sc | Clinic/Center | 7384 Countryshire Ln, Rockford, IL 61107-2772 | 2007-03-27 |
| 1639715923 | Creek Counseling | Clinic/Center | 6653 Weaver Rd, Rockford, IL 61114-8025 | 2019-11-21 |
| 1437676731 | Rockford Wellness Associates, Sc | Clinic/Center | 6019 Fincham Dr, Rockford, IL 61108-2550 | 2017-08-28 |
| 1770999872 | Healthworks Medical Group of Illinois S C | Clinic/Center | 2801 S Springfield Ave, Rockford, IL 61102-4205 | 2014-07-09 |
| 1255618732 | Jeanne M Flesch PC | Clinic/Center | 415 S Mulford Rd, Rockford, IL 61108-3011 | 2011-11-10 |
| 1295982973 | Brauer Family Chiropractic, Inc. | Clinic/Center | 7264 Argus Dr, Rockford, IL 61107-5837 | 2008-08-25 |
| 1265601579 | Terry R Roth Md PC | Clinic/Center | 4920 E State St, Rockford, IL 61108-2272 | 2008-02-21 |
| 1710099270 | Rebound Physical Therapy Center PC | Clinic/Center | 3616 N Main St, Rockford, IL 61103-2159 | 2006-08-31 |
| 1750376638 | Miller Eye Center Ltd | Clinic/Center | 2995 Eastrock Dr, Rockford, IL 61109-1737 | 2005-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453236 | Dirsi, Inc | Clinic/Center | 2112 N Dayton St, Chicago, IL 60614-4302 | 2020-10-05 |
| 1588261770 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 2701 W 68th St Fl 3, Chicago, IL 60629-1813 | 2020-10-01 |
| 1013514298 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 1500 S Fairfield Ave Fl 4, Chicago, IL 60608-1782 | 2020-10-01 |
| 1841804879 | Chicago Poly Clinic LLC | Clinic/Center | 2446 W Devon Ave, Chicago, IL 60659-1913 | 2020-09-08 |
| 1386258226 | Ortho Spine Surgical LLC | Clinic/Center | 1925 E 95th St Ste 220, Chicago, IL 60617-4710 | 2020-09-08 |
| 1821607425 | Desired Medical Services Incorporated | Clinic/Center | 371 Mackinaw Ave, Calumet City, IL 60409-2524 | 2020-07-29 |
| 1639787823 | Md Infusions, Pllc | Clinic/Center | 666 Dundee Rd Ste 1800, Northbrook, IL 60062-2727 | 2020-07-14 |
| 1407474083 | Staten Family Practice Pllc | Clinic/Center | 500 W Virginia Ave, Gillespie, IL 62033-1025 | 2020-07-09 |
| 1629696679 | Serenity Internal Medicine & Wellness Center | Clinic/Center | 3330 W 177th St # 2d-1, Hazel Crest, IL 60429-2184 | 2020-07-07 |
| 1407473663 | Champion Chiropractic PC | Clinic/Center | 148 S Bloomingdale Rd Ste 107e, Bloomingdale, IL 60108-1491 | 2020-07-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ELITE SPINE & WELLNESS CENTER, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.