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ELITE REHAB ADDISON LLC NPI 1497012157


NPI Information

NPI: 1497012157
Provider Name: ELITE REHAB ADDISON LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 14D2174256

Address:
601 W ARMY TRAIL BLVD
SUITE A
ADDISON, IL
ZIP 60101
Phone: (630) 501-0971
Get Directions

ELITE REHAB ADDISON LLC is a chiropractor in Addison, IL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. ELITE REHAB ADDISON LLC NPI is 1497012157. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

601 W ARMY TRAIL BLVD
SUITE A
ADDISON, IL
ZIP 60101-299
Phone: (630) 501-0971
Fax: (630) 501-1789

The provider's authorized official is Anthony M Pirie .
The authorized official title is President and has the following contact phone number (630) 501-0971.

The CLIA number assigned to this NPI record is 14D2174256 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/19/2012 and was last updated on 4/19/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225100000XPhysical TherapistNo
2111N00000XChiropractorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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