Proactive Chiropractic & Laser Center, Llc | |
2535 Bethany Rd Ste 100, Sycamore, IL 60178-3126 | |
(815) 517-0826 | |
Not Available |
Full Name | Proactive Chiropractic & Laser Center, Llc |
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Type | Facility |
Speciality | Chiropractor - Rehabilitation |
Location | 2535 Bethany Rd Ste 100, Sycamore, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1922633395 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111NR0400X | Chiropractor - Rehabilitation | (* (Not Available)) | Primary |
Provider Name | Ryan K Friel |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1871952473 PECOS PAC ID: 0143529156 Enrollment ID: I20200417000955 |
Mailing Address | Practice Location Address |
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Proactive Chiropractic & Laser Center, Llc 2535 Bethany Rd Ste 100, Sycamore, IL 60178-3126 Ph: (815) 517-0826 | Proactive Chiropractic & Laser Center, Llc 2535 Bethany Rd Ste 100, Sycamore, IL 60178-3126 Ph: (815) 517-0826 |
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