Organization
GENERATIONS CHIROPRACTIC WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMANTHA ELIZABETH BRADLEY DC (CLINIC OWNER)
(815) 547-6333
Entity
Organization
Contact information
Practice address
8115 FRUIT FARM RD, BELVIDERE, IL 61008-9075
(815) 547-6333
(815) 642-5695
Mailing address
8115 FRUIT FARM RD, BELVIDERE, IL 61008-9075
(815) 547-6333
(815) 642-5695
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
038012666
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5090934
AETNA
IL
Enumeration date
08/25/2014
Last updated
02/24/2025
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