| Elite Spine & Wellness Center, Inc | |
|
6833 Stalter Dr Ste 203 Rockford IL 61108-2582 | |
| (815) 904-6650 | |
| (815) 904-6564 |
| Full Name | Elite Spine & Wellness Center, Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 6833 Stalter Dr Ste 203, Rockford, Illinois |
| Authorized Official Name and Position | Brittany Sullivan (OWNER) |
| Authorized Official Contact | 1815988783 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Spine & Wellness Center, Inc 6833 Stalter Dr Ste 203 Rockford IL 61108-2582 Ph: (815) 904-6650 | Elite Spine & Wellness Center, Inc 6833 Stalter Dr Ste 203 Rockford IL 61108-2582 Ph: (815) 904-6650 |
| NPI Number | 1568069805 |
|---|---|
| Provider Enumeration Date | 10/08/2020 |
| Last Update Date | 01/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568069805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Gautam Gupta Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6090 Strathmoor Dr, Suite #4, Rockford, IL 61107 Phone: 815-229-1899 Fax: 815-231-1218 | |
Rockford School District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 N Gardiner Ave, Rockford, IL 61107 Phone: 815-398-3976 | |
Rockford Adult Medicine Associates S C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 534 Roxbury Rd, Rockford, IL 61107 Phone: 815-381-7005 | |