PRO-ACTIVE CARE PHYSICAL MEDICINE SC

CHICAGO, IL
NPI1356600712
Entity TypeOrganization
Authorized ContactRAE BOUVIN
P
773-279-9344
Organization Subpart ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: IL  038010690)
Enumeration Date2012-05-04
Last Update Date2016-02-09
Business Address
PRO-ACTIVE CARE PHYSICAL MEDICINE SC
2609 W LAWRENCE AVE
CHICAGO, IL 60625-6895
Phone number: 773-279-9344
Mailing Address
PRO-ACTIVE CARE PHYSICAL MEDICINE SC
2609 W LAWRENCE AVE
CHICAGO, IL 60625-6895
Phone number: 773-279-9344
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