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Active Life & Sports Chiropractic Llc
Chiropractor in Lombard, Illinois
NPI 1154780617

Active Life & Sports Chiropractic Llc is a Chiropractor based in Lombard, IL. Active Life & Sports Chiropractic Llc practices in Lombard, IL. The NPI Number for Active Life & Sports Chiropractic Llc is 1154780617 and holds a License No. 038011082 (Illinois).

The current practice location address for Active Life & Sports Chiropractic Llc is 929 S Main St, Lombard, IL and can be reached out via phone at 630-519-6284 and via fax at 866-443-0749.

Location: 929 S Main St, Lombard, IL, 60148
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154780617
Provider Name
Active Life & Sports Chiropractic Llc
Credential
Provider Entity Type
Organization
Address
929 S Main St, Lombard, IL, 60148
Phone Number
630-519-6284
Fax Number
866-443-0749
Provider Enumeration Date
02/12/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R00055 01 IL MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
929 S Main St
City
Lombard
State
Illinois
Zip
60148-3325
Phone Number
630-519-6284
Fax Number
866-443-0749
person
Provider Business Mailing Address Details
Address
929 S Main St
City
Lombard
State
Illinois
Zip
60148-3325
Phone Number
630-519-6284
Fax Number
866-443-0749
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038011082 (Illinois)
Definition
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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