Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revive Chiropractic Wellness Center, Inc

Organization Chiropractor · NPI 1316586134

Revive Chiropractic Wellness Center, Inc is a Chiropractor in Rockford, Illinois. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5875 E Riverside Blvd Ste 115
Rockford, IL 61114-4937
Phone: (815) 398-1689
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X

Record details

NPI number1316586134
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Natalie Richards — Owner/President · (815) 742-0987
Other names Revive Chiropractic Wellness Center
NPI enumeratedDecember 26, 2019
Last updated in NPPESDecember 26, 2019
Certification dateDecember 26, 2019
Mailing address5875 E Riverside Blvd Ste 115, Rockford, IL 61114-4937

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