Organization
BACK IN ACTION HOLISTIC HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLY R VANDERVORT (OFFICE MANAGER)
(815) 397-8500
Entity
Organization
Contact information
Practice address
5301 E STATE ST, SUITE 101, ROCKFORD, IL 61108
(815) 397-8500
(815) 397-8588
Mailing address
5301 E STATE ST, SUITE 101, ROCKFORD, IL 61108
(815) 397-8500
(815) 397-8588
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
02/13/2007
Last updated
08/22/2020
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