Provider Demographics
NPI:1215791660
Name:REID FAMILY WELLNESS 2, LLC
Entity type:Organization
Organization Name:REID FAMILY WELLNESS 2, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER/CHIROPRACTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHAY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:SITKO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:217-698-5800
Mailing Address - Street 1:2920 CHATHAM ROAD, SUITE A
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62704
Mailing Address - Country:US
Mailing Address - Phone:217-698-5800
Mailing Address - Fax:217-698-4863
Practice Address - Street 1:2920 CHATHAM ROAD, SUITE A
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62704
Practice Address - Country:US
Practice Address - Phone:217-698-5800
Practice Address - Fax:217-698-4863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty