Provider Demographics
NPI:1144479163
Name:VORTECH HEALTH INC
Entity type:Organization
Organization Name:VORTECH HEALTH INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:L
Authorized Official - Last Name:REXROTH
Authorized Official - Suffix:
Authorized Official - Credentials:MA, DC, CCN
Authorized Official - Phone:309-764-2115
Mailing Address - Street 1:2330 53RD ST
Mailing Address - Street 2:
Mailing Address - City:MOLINE
Mailing Address - State:IL
Mailing Address - Zip Code:61265-5005
Mailing Address - Country:US
Mailing Address - Phone:309-764-2115
Mailing Address - Fax:309-764-2116
Practice Address - Street 1:2330 53RD ST
Practice Address - Street 2:
Practice Address - City:MOLINE
Practice Address - State:IL
Practice Address - Zip Code:61265-5005
Practice Address - Country:US
Practice Address - Phone:309-764-2115
Practice Address - Fax:309-764-2116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-15
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038006458111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty