Active NPIOrganization

Active Body Chiropractic LTD

Chiropractor in Chicago, Illinois

NPI Number1477582302
Practice location
1600 S Indiana Ave, Suite 2, Chicago, IL 60616-4732
Fax
312-922-9869
Last updated
October 25, 2012

Active Body Chiropractic LTD is a healthcare organization based in Chicago, IL. The NPI number for Active Body Chiropractic LTD is 1477582302 and holds license No. 060-008054 (IL). The current practice location address is 1600 S Indiana Ave, Suite 2, Chicago, IL 60616-4732 and the office can be reached by phone at 312-922-9868 and by fax at 312-922-9869. The NPI was assigned on July 2, 2006 and the record was last updated in NPPES on October 25, 2012.

●Provider Profile Details

NPI Number
1477582302
Provider Name
Active Body Chiropractic LTD
Entity Type
Organization (Type 2 NPI)
Primary Taxonomy
Chiropractor · 111N00000X
Organization Subpart
No
Authorized Official
Dr. Dylan P Drynan, DC · Vice President / Coo · 312-922-9868
Enumeration Date
July 2, 2006
Last Update Date
October 25, 2012
NPI Status
Active

◉Business Practice Location Address

Address
1600 S Indiana Ave
Suite 2
Chicago, IL 60616-4732
ZIP
60616-4732
Country
US
Phone Number
312-922-9868
Fax Number
312-922-9869

Get directions →

✉Business Mailing Address

Address
1600 S Indiana Ave
Suite 2
Chicago, IL 60616-4732
City
Chicago
State
IL
ZIP
60616-4732
Phone Number
312-922-9868
Fax Number
312-922-9869

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Chiropractor
193400000X - Single Specialty Group
111N00000XYes060-008054IL

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Active Body Chiropractic LTD?

The NPI number of Active Body Chiropractic LTD is 1477582302. It was assigned on July 2, 2006 and is currently active in the NPPES registry.

What is the specialty of Active Body Chiropractic LTD?

Active Body Chiropractic LTD is registered under the primary taxonomy Chiropractor (code 111N00000X) and holds license No. 060-008054 (IL).

Where does Active Body Chiropractic LTD practice?

The practice location is 1600 S Indiana Ave, Suite 2, Chicago, IL 60616-4732. The office can be reached at 312-922-9868 (phone) or 312-922-9869 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477582302 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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