Organization · Type 2 NPI
Active Wellness LLC
Chiropractor · Chicago, IL
NPI number
1891120408
Active
Practice location
560 W Diversey Pkwy
Chicago, IL 60614
Mailing address
4555 N Lincoln Ave
Chicago, IL 60625-2102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | None listed |
| Nutrition Chiropractor | 111NN1001X | None listed |
| Pediatric Chiropractor | 111NP0017X | None listed |
| Sports Physician Chiropractor | 111NS0005X | None listed |
| Acupuncturist | 171100000X | None 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.
2 other providers at this address
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About NPI 1891120408
Active Wellness LLC's National Provider Identifier is 1891120408, issued on Sep 13, 2013. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Chicago, IL. The record was last updated on Oct 2, 2013.