Organization
DRAKE HEALTHCARE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES DRAKE D.C. (PRESIDENT)
(815) 229-8690
Entity
Organization
Contact information
Practice address
7264 ARGUS DR, ROCKFORD, IL 61107-5837
(815) 229-8690
(815) 229-8695
Mailing address
7264 ARGUS DR, ROCKFORD, IL 61107-5837
(815) 229-8690
(815) 229-8695
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038010047
IL
208100000X
Physical Medicine & Rehabilitation Physician
036056126
IL
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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