Organization
ROCKFORD WELLNESS CORPORATION SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY S OSBORNE DC (PRESIDENT/OWNER)
(815) 708-0125
Entity
Organization
Contact information
Practice address
6019 FINCHAM ROAD, ROCKFORD, IL 61108
(815) 708-0125
(815) 316-1069
Mailing address
6019 FINCHAM ROAD, ROCKFORD, IL 61108
(815) 708-0125
(815) 316-1069
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
038010875
IL
Other
Enumeration date
03/09/2012
Last updated
09/24/2015
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