Organization · NPI-2

Active Body Chiropractic Ltd

Chiropractor · Chicago, IL

NPI number1477582302
StatusActive
Last updated in NPPESOct 25, 2012

Details

NPI
1477582302
Entity type
Organization (NPI-2)
Legal business name
Active Body Chiropractic Ltd
Organization subpart
No
Enumeration date
Jul 2, 2006
Last updated
Oct 25, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor060-008054ILYes

Practice location

1600 S Indiana Ave
Suite 2
Chicago, IL 60616-4732

Phone 312-922-9868 · Fax 312-922-9869

Mailing address

1600 S Indiana Ave
Suite 2
Chicago, IL 60616-4732

Phone 312-922-9868 · Fax 312-922-9869

Authorized official

Dylan P Drynan
Vice President / Coo
3129229868

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