Organization
ELITE SPINE & WELLNESS CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY SULLIVAN DC (OWNER)
(181) 598-8783
Entity
Organization
Contact information
Practice address
6833 STALTER DR STE 203, ROCKFORD, IL 61108-2582
(815) 904-6650
(815) 904-6564
Mailing address
6833 STALTER DR STE 203, ROCKFORD, IL 61108-2582
(815) 904-6650
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
01/20/2021
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