| Rock River Wellness, Llc | |
|
2201 52nd Ave, Moline, IL 61265-6371 | |
| (515) 231-5774 | |
| Not Available |
| Full Name | Rock River Wellness, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2201 52nd Ave, Moline, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235402637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038011398 (Illinois) | Primary |
| Provider Name | Lori B Nelson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1578706461 PECOS PAC ID: 1052574654 Enrollment ID: I20120517000665 |
| Mailing Address | Practice Location Address |
|---|---|
| Rock River Wellness, Llc 1309 5th St, Po Box 182, Orion, IL 61273-7751 Ph: (515) 231-5774 | Rock River Wellness, Llc 2201 52nd Ave, Moline, IL 61265-6371 Ph: (515) 231-5774 |
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