Organization
ELITECARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN RENEE NIEHAUS (EXECUTOR OF ESTATE)
(217) 877-8992
Entity
Organization
Contact information
Practice address
2870 N MAIN ST, DECATUR, IL 62526-3234
(217) 877-8992
(217) 877-8978
Mailing address
2870 N MAIN ST, DECATUR, IL 62526-3234
(217) 877-8992
(217) 877-8978
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
344604179
IL
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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