| Active Health Chiropractic Clinic Inc. | |
|
345a W Ogden Ave, Westmont, IL 60559-1419 | |
| (773) 370-8364 | |
| Not Available |
| Full Name | Active Health Chiropractic Clinic Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 345a W Ogden Ave, Westmont, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518204767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Sarah E Lawson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1427027309 PECOS PAC ID: 7517922297 Enrollment ID: I20041122000787 |
| Provider Name | David S Krueger |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1841317310 PECOS PAC ID: 7719939818 Enrollment ID: I20050217000181 |
| Mailing Address | Practice Location Address |
|---|---|
| Active Health Chiropractic Clinic Inc. 7410 Forest Hill Rd, Burr Ridge, IL 60527-7712 Ph: (773) 370-8364 | Active Health Chiropractic Clinic Inc. 345a W Ogden Ave, Westmont, IL 60559-1419 Ph: (773) 370-8364 |
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