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Contact Information

CEVENE CARE CLINIC, INC
6451 E RIVERSIDE BLVD
#103
ROCKFORD, IL61114-4421
 Phone: 815-639-9900
 Fax: 815-639-9860
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Podiatrist

213E00000X 48 Podiatry
 

Rehabilitation

111NR0400X 35 Chiropractic
 

Social Worker

104100000X
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for CEVENE CARE CLINIC INC · (Female)

NPI Number 1568580843
Status Active
Credentials
Entity Individual
Enumeration date 03/26/2007
Last updated 04/18/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 0070009799
  • IL License # 016005320
  • IL License # 036118972
  • IL License # 038009573
  • IL License # 149009052
  • IL License # 31602516
  • IL License # 336045953
  • IL Other 210693 MEDICARE GROUP #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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