NPI 1013483874

Pro Active Chiropractic PC

Organisation Chiropractor Chicago, IL

Practice location

Address: 223 W Jackson Blvd STE 1016, Chicago, IL 60606-6916
Phone: (708) 351-2011
Mailing address: 800 S Catherine Ave, La Grange, IL 60525-2829

Authorised official

Name: Dana Garlan Riederer
Title: President
Phone: (708) 351-2011

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X

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Registry record

NPI: 1013483874
Entity type: Organization
NPI issued: 19 Oct 2018
Record last updated: 13 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.