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Pro-active Care Physical Medicine Sc
Chiropractor in Chicago, Illinois
NPI 1356600712

Pro-active Care Physical Medicine Sc is a Chiropractor based in Chicago, IL. Pro-active Care Physical Medicine Sc practices in Chicago, IL. The NPI Number for Pro-active Care Physical Medicine Sc is 1356600712 and holds a License No. 038010690 (Illinois).

The current practice location address for Pro-active Care Physical Medicine Sc is 2609 W Lawrence Ave, Chicago, IL and can be reached out via phone at 773-279-9344 and via fax at 773-279-9345.

Location: 2609 W Lawrence Ave, Chicago, IL, 60625-6895
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356600712
Provider Name
Pro-active Care Physical Medicine Sc
Credential
Provider Entity Type
Organization
Address
2609 W Lawrence Ave, Chicago, IL, 60625-6895
Phone Number
773-279-9344
Fax Number
773-279-9345
Provider Enumeration Date
05/04/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
IL7812 01 IL MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
2609 W Lawrence Ave
City
Chicago
State
Illinois
Zip
60625-6895
Phone Number
773-279-9344
Fax Number
773-279-9345
person
Provider Business Mailing Address Details
Address
2609 W Lawrence Ave
City
Chicago
State
Illinois
Zip
60625-6895
Phone Number
773-279-9344
Fax Number
773-279-9345
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038010690 (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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