| Active Body Chiropractic Ltd | |
|
1600 S Indiana Ave, Suite 2, Chicago, IL 60616-4732 | |
| (312) 922-9868 | |
| (312) 922-9869 |
| Full Name | Active Body Chiropractic Ltd |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1600 S Indiana Ave, Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477582302 | NPI | - | NPPES |
| 01632378 | Other | IL | BLUE CROSS BLUE SHIELD ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 060-008054 (Illinois) | Primary |
| Provider Name | Jeffrey M Heddles |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1932131885 PECOS PAC ID: 8224288600 Enrollment ID: I20121029000427 |
| Provider Name | Dylan P Drynan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1003845959 PECOS PAC ID: 0042460420 Enrollment ID: I20121112000616 |
| Provider Name | Alexandria Nealy |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1578197786 PECOS PAC ID: 4486077302 Enrollment ID: I20200710002780 |
| Provider Name | Anthony G Kelley |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1508343948 PECOS PAC ID: 1759785546 Enrollment ID: I20210802000077 |
| Mailing Address | Practice Location Address |
|---|---|
| Active Body Chiropractic Ltd 1600 S Indiana Ave, Suite 2, Chicago, IL 60616-4732 Ph: (312) 922-9868 | Active Body Chiropractic Ltd 1600 S Indiana Ave, Suite 2, Chicago, IL 60616-4732 Ph: (312) 922-9868 |
Water Tower Place Chiropractic, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 845 N Michigan Ave, 983w, Chicago, IL 60611 Phone: 312-654-5486 Fax: 312-654-2175 | |
The Chicago Body Works, S.c. Chiropractor Medicare: Medicare Enrolled Practice Location: 3505 N Ashland Ave, Chicago, IL 60657 Phone: 773-248-4229 | |
Dr. Mahmoud S Lotfi, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3139 W 111th St, Chicago, IL 60655 Phone: 312-944-4653 | |
Renew Chiropractic Health And Wellness Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 935 N Honore St Apt 2r, Chicago, IL 60622 Phone: 563-580-5171 | |
Dr. Jee Hoon Kim, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2317 W Chicago Ave, 2 Fl., Chicago, IL 60622 Phone: 773-252-9740 Fax: 773-252-9746 | |
Dr. Dylan P Drynan, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1600 S Indiana Ave, Unit B, Chicago, IL 60616 Phone: 312-922-9868 Fax: 312-922-9869 | |
David Ross Anderson, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2105 W Division St, Chicago, IL 60622 Phone: 773-342-3221 Fax: 773-342-3836 |