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Organization
REVIVE CHIROPRACTIC WELLNESS CENTER, INC
Active
Organization
REVIVE CHIROPRACTIC WELLNESS CENTER, INC
Active
Other names
Revive Chiropractic Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATALIE ROSE RICHARDS DC (OWNER/PRESIDENT)
(815) 742-0987
Entity
Organization
Contact information
Practice address
5875 E RIVERSIDE BLVD STE 115, ROCKFORD, IL 61114-4937
(815) 398-1689
Mailing address
5875 E RIVERSIDE BLVD STE 115, ROCKFORD, IL 61114-4937
(815) 398-1689
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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