NPI 1477582302 · live from the CMS NPI Registry
Active Body Chiropractic Ltd
Chiropractor in Chicago, IL. National Provider Identifier 1477582302, active.
NPI record
| NPI | 1477582302 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 1600 S Indiana Ave, Suite 2, Chicago, IL 60616 |
| Practice phone | 312-922-9868 |
| Enumerated | July 2, 2006 |
| Last updated | October 25, 2012 |
| Authorized official | Dylan Drynan, Vice President / Coo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 060-008054 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.