# BUMP AND BEYOND FAMILY WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588496996
- **Authorized official:** DR. NADINE M ILLICHMANN DC (OWNER)
- **Authorized official phone:** (920) 298-8307

## Contact information

- **Practice address:** 117 GARDNER ST STE A, TWO RIVERS, WI 54241-3205
- **Practice address phone:** (920) 304-9374
- **Practice address fax:** (920) 875-5593
- **Mailing address:** 117 GARDNER ST STE A, TWO RIVERS, WI 54241-3205
- **Mailing address phone:** (920) 304-9374
- **Mailing address fax:** (920) 875-5593

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | Yes |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 08/14/2024
- **Last updated:** 07/14/2026