Organization
INTEGRATIVE HEALING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELISHA ROBINSON M.D. (OWNER)
(219) 902-7340
Entity
Organization
Contact information
Practice address
6019 FINCHAM DRIVE, ROCKFORD, IL 61108
(219) 902-7340
Mailing address
2509 MANDRAKE DRIVE, ROCKFORD, IL 61108
(219) 902-7340
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
036.130252
IL
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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