Organization · Type 2 NPI

Active Wellness, LLC

Chiropractor · Chicago, IL

NPI number 1265847545 Active

Practice location

4555 N Lincoln Ave
Chicago, IL 60625-2102

Fax (773) 596-1348

Mailing address

118 S Clinton St, Unit 100
Chicago, IL 60661-3628

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XNone listed
Nutrition Chiropractor 111NN1001XNone listed
Pediatric Chiropractor 111NP0017XNone listed
Sports Physician Chiropractor 111NS0005XNone listed
Orthopedic Chiropractor 111NX0800XNone listed
Acupuncturist 171100000XNone listed

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1265847545

Active Wellness, LLC's National Provider Identifier is 1265847545, issued on Jun 25, 2014. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Chicago, IL. The record was last updated on Jun 25, 2014.