Active Health & Restoration, LLC
Chiropractor, Rehabilitation in Carol Stream, IL. Organization (NPI-2).
NPI number1154792802
StatusActive
Last updated in NPPESJun 24, 2016
Details
- NPI
- 1154792802
- Entity type
- Organization (NPI-2)
- Legal business name
- Active Health & Restoration, LLC
- Organization subpart
- No
- Enumeration date
- Oct 7, 2015
- Last updated
- Jun 24, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NR0400X | Chiropractor, Rehabilitation | 038.012819 | IL | Yes |
Practice location
640 E Saint Charles RdSuite 107
Carol Stream, IL 60188-3083
Phone 630-923-5049
Mailing address
640 E Saint Charles RdSuite 107
Carol Stream, IL 60188-3083
Phone 630-923-5049 · Fax 630-344-0963
Authorized official
Alexander Earl
President, Clinic Director
6309235049
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