ELITE SPINE & WELLNESS CENTER, INC
NPI 1568069805
Clinic/Center in Rockford, IL

Active since October 08, 2020
6833 STALTER DR STE 203, ROCKFORD, IL 61108(815) 904-6650(815) 904-6564 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 20, 2021, Oct 8, 2020 (2 updates tracked since 2020).

About Elite Spine & Wellness Center, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELITE SPINE & WELLNESS CENTER, INC (NPI 1568069805) is a healthcare organization registered as a clinic/center in Rockford, Illinois and active in the NPI registry since October 2020. The organization maintains a secondary practice location in Rockford and lists Brittany Sullivan, Owner, as its authorized official.

NPPES Registry Identity

NPI1568069805
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameELITE SPINE & WELLNESS CENTER, INC
Location Address6833 STALTER DR STE 203Rockford, IL 61108-2582
Mailing Address6833 Stalter Dr Ste 203Rockford, IL 61108-2582 · (815) 904-6650
Fax(815) 904-6564
Organization SubpartNo
Authorized OfficialBrittany SullivanOwner · (181) 598-8783
Enumeration DateOctober 8, 2020
Last NPPES UpdateJanuary 20, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2021
NPI 1568069805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
6833 STALTER DR STE 203, Rockford, IL 61108

Secondary Practice Location 1

Location 15898 Pathfinder RdRockford, IL 61109-4008 · Phone (815) 988-7831

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
6833 STALTER DR STE 203
ROCKFORD, IL 61108

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elite Spine & Wellness Center, Inc's NPI number?

The NPI number for Elite Spine & Wellness Center, Inc is 1568069805. It was assigned to this organization in the NPPES registry on October 8, 2020.

Where is Elite Spine & Wellness Center, Inc located?

Elite Spine & Wellness Center, Inc is located at 6833 Stalter Dr Ste 203, Rockford, IL 61108. The listed phone number is (815) 904-6650.

What is Elite Spine & Wellness Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Elite Spine & Wellness Center, Inc was last updated on January 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.