Pro-Active Care Physical Medicine SC
Pro-Active Care Physical Medicine SC provides Chiropractor services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2012.
- Licensed in
- IL
- In the registry since
- 2012
Practice location Address checks out
2609 W Lawrence AveChicago, IL 60625-6895 Not confirmed with CMS for 10 years — call before visiting
Phone: (773) 279-9344
Fax: (773) 279-9345
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Chiropractor (primary) | Taxonomy 111N00000X · Licence 038010690 (IL) |
|---|
Record details
| NPI number | 1356600712 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rae Bouvin — P · (773) 279-9344 |
| NPI enumerated | May 4, 2012 |
| Last updated in NPPES | February 9, 2016 |
| Mailing address | 2609 W Lawrence Ave, Chicago, IL 60625-6895 |
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