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Organization
ROCKFORD PAIN & REHAB, LLC
Active
Organization
ROCKFORD PAIN & REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD SUSSMAN (OWNER)
(305) 608-9248
Entity
Organization
Contact information
Practice address
2004 E RIVERSIDE BLVD, LOVES PARK, IL 61111-4856
(847) 386-1899
Mailing address
7431 E STATE ST, #235, ROCKFORD, IL 61108-2678
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-010134
IL
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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