Active Edge Chiropractic & Rehab INC
Chiropractor in Quincy, IL. Organization (NPI-2).
NPI number1992114151
StatusActive
Last updated in NPPESSep 23, 2025
Details
- NPI
- 1992114151
- Entity type
- Organization (NPI-2)
- Legal business name
- Active Edge Chiropractic & Rehab INC
- Organization subpart
- No
- Enumeration date
- Aug 12, 2014
- Certification date
- Sep 23, 2025
- Last updated
- Sep 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 038.012516 | IL | Yes |
Practice location
1024 Maine StQuincy, IL 62301-4039
Phone 217-222-6500 · Fax 217-222-5688
Mailing address
1024 Maine StQuincy, IL 62301-4039
Phone 217-222-6500 · Fax 217-222-5688
Authorized official
James Edward Johnson
Chiropractor
2178362732
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