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1013483874
PRO ACTIVE CHIROPRACTIC PC
CHICAGO, IL
NPI
1013483874
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Entity Type
Organization
Authorized Contact
DANA GARLAN RIEDERER
President
708-351-2011
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
Enumeration Date
2018-10-19
Last Update Date
2020-02-13
Business Address
PRO ACTIVE CHIROPRACTIC PC
223 W JACKSON BLVD STE 1016
CHICAGO, IL 60606-6916
Phone number: 708-351-2011
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Mailing Address
PRO ACTIVE CHIROPRACTIC PC
800 S CATHERINE AVE
LA GRANGE, IL 60525-2829
Phone number: 708-351-2011
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