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ACTIVE LIFE CHIROPRACTIC CENTER LTD. NPI 1841491677


NPI Information

NPI: 1841491677
Provider Name: ACTIVE LIFE CHIROPRACTIC CENTER, LTD.
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
10761 163RD PL
ORLAND PARK, IL
ZIP 60467
Phone: (708) 403-9450
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ACTIVE LIFE CHIROPRACTIC CENTER, LTD. is a clinic center in Orland Park, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ACTIVE LIFE CHIROPRACTIC CENTER, LTD. NPI is 1841491677. The provider is registered as an organization entity type.

The provider's business location address is:

10761 163RD PL
ORLAND PARK, IL
ZIP 60467-861
Phone: (708) 403-9450
Fax: (708) 403-9488

The provider's authorized official is Laura Jendra .
The authorized official title is Owner and has the following contact phone number (708) 403-9450.

The enumeration date for this NPI number is 5/30/2007 and was last updated on 9/6/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/Center038008780ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1213468MEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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