Organization
HEIT REHABILITATION & OPTIMAL HEALTH CENTER S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT KIEL HEIT D. C. (CLINIC DIRECTOR)
(815) 399-5860
Entity
Organization
Contact information
Practice address
7445 E STATE ST, ROCKFORD, IL 61108-2678
(815) 399-5860
(815) 399-6107
Mailing address
7445 E STATE ST, ROCKFORD, IL 61108-2678
(815) 399-5860
(815) 399-6107
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
042617472
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1032067
BLUE CROSS / BLUE SHIELD
IL
Enumeration date
08/30/2006
Last updated
11/15/2010
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