| Active Life Chiropractic Center, Ltd. | |
|
10761 163rd Pl Orland Park IL 60467-8861 | |
| (708) 403-9450 | |
| (708) 403-9488 |
| Full Name | Active Life Chiropractic Center, Ltd. |
|---|---|
| Speciality | Clinic/center |
| Location | 10761 163rd Pl, Orland Park, Illinois |
| Authorized Official Name and Position | Laura Jendra (OWNER) |
| Authorized Official Contact | 7084039450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Active Life Chiropractic Center, Ltd. 10761 163rd Pl Orland Park IL 60467-8861 Ph: (708) 403-9450 | Active Life Chiropractic Center, Ltd. 10761 163rd Pl Orland Park IL 60467-8861 Ph: (708) 403-9450 |
| NPI Number | 1841491677 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 09/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841491677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 038008780 (Illinois) | Primary |
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