Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PROACTIVE SPORT & SPINE, SC
Active OrganizationPROACTIVE SPORT & SPINE, SC is a Sports Physician (Chiropractor) organization located in NORTHBROOK, Illinois. NPI 1134474414 is currently active in the NPPES registry. Verify at CMS.
Sports Physician (Chiropractor) · NORTHBROOK, IL
Registration Details
- NPI Number
- 1134474414
- Provider Type
- Organization
- NPI Issued
- Jul 23, 2012 (14.103332575626 yrs)
- Last Updated
- Jul 23, 2012
- License
-
038011182 (IL)
Practice Information
- Address
-
3340 DUNDEE RDSUITE 2C4NORTHBROOK, IL, 600622324Browse IL providers · Browse ZIP 60062
- Phone
- 2242354651
- Fax
- 2242354654
- Primary Specialty
-
Sports Physician (Chiropractor)
111NS0005X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.