Individual
KANDISE ROSENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
4338 MORSAY DR, ROCKFORD, IL 61107-4877
(815) 397-8500
Mailing address
4338 MORSAY DR, ROCKFORD, IL 61107-4877
(815) 397-8500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038012752
IL
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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