Organization
CHIROPRACTIC FIRST OF ROCKFORD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED ERDMIER (CHIROPRACTOR)
(815) 541-0561
Entity
Organization
Contact information
Practice address
811 S PERRYVILLE RD, 117, ROCKFORD, IL 61108-4323
(815) 541-0561
Mailing address
4253 PIPER PASS, LOVES PARK, IL 61111-8637
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011826
IL
Other
Enumeration date
07/21/2011
Last updated
07/21/2011
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