Organization
INTEGRATIVE REHABILITATION CENTER, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES C MORGANO DC (CHIROPRACTOR)
(779) 423-1700
Entity
Organization
Contact information
Practice address
101 N ALPINE RD, ROCKFORD, IL 61107-4901
(779) 423-1700
(866) 596-1027
Mailing address
1820 WINDSOR RD, SUITE A, LOVES PARK, IL 61111-4271
(815) 986-4411
(815) 986-4414
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
042617556
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10132071
BLUE CROSS BLUE SHIELD
IL
Enumeration date
04/06/2007
Last updated
11/12/2010
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