Organization · NPI-2

Active Life Chiropractic Center, Ltd.

Clinic/Center · Orland Park, IL

NPI number1841491677
StatusActive
Last updated in NPPESSep 6, 2011

Details

NPI
1841491677
Entity type
Organization (NPI-2)
Legal business name
Active Life Chiropractic Center, Ltd.
Organization subpart
No
Enumeration date
May 30, 2007
Last updated
Sep 6, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center038008780ILYes

Practice location

10761 163rd Pl
Orland Park, IL 60467-8861

Phone 708-403-9450 · Fax 708-403-9488

Mailing address

10761 163rd Pl
Orland Park, IL 60467-8861

Phone 708-403-9450 · Fax 708-403-9488

Authorized official

Laura Jendra
Owner
7084039450

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