Organization · Type 2 NPI

Pro-Active Care Physical Medicine SC

Chiropractor · Chicago, IL

NPI number 1356600712 Active

Practice location

2609 W Lawrence Ave
Chicago, IL 60625-6895

Fax (773) 279-9345

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X038010690 (IL)

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 1356600712

Pro-Active Care Physical Medicine SC's National Provider Identifier is 1356600712, issued on May 4, 2012. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Chicago, IL. The record was last updated on Feb 9, 2016.