Organization
BAER CHIROPRACTIC & WELLNESS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDA MICHELLE BAER D.C. (PRESIDENT/CHIROPRACTOR)
(815) 636-9450
Entity
Organization
Contact information
Practice address
2585 N MULFORD RD, ROCKFORD, IL 61114-5643
(815) 636-9450
(815) 636-9443
Mailing address
2585 N MULFORD RD, ROCKFORD, IL 61114-5643
(815) 636-9450
(815) 636-9443
Taxonomy
Speciality
Code
Description
License number
State
111NP0017X
Pediatric Chiropractor
Primary
038008941
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038008941
—
IL
01
—
10132030
BCBS
IL
01
—
411508205
HSM/ECOH
IL
Enumeration date
05/16/2008
Last updated
11/29/2008
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