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14D2077929 CLIA NUMBER - ACTIVE CARE CENTER S C

Laboratory Demographics

CLIA Number: 14D2077929

Facility Name: ACTIVE CARE CENTER S C

Facility Address:
609 NMAIN ST - STE 101
MOUNT PROSPECT, IL
ZIP 60056
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Facility Phone Number: 847 670-1111

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1669857025

Taxonomy: 111NX0800X - Chiropractor
Chiropractic Orthopedics is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, muscles, ligaments, tendons, their complete neurological and vascular components, referred organ systems and contiguous tissues. This also includes the development and perfection of skills relative to health maintenance when such exists and when not, the investigations, historical review, physical detection, correlative diagnosis development and complete management of any disorder within the bounds defined herein. Also necessary is the delivery of the combined knowledge and skill on a primary basis to patients who both need and desire this service to the eventual outcome of remissions, whenever resolution is not readily achievable. In addition the certified chiropractic orthopedist provides consultation services at the request of other qualified doctors seeking assistance in the care of their patients. The chiropractic orthopedist may also engage in the teaching and or research of subjects and materials relevant to pursuing the quest for knowledge in the ever changing field of the orthopedic specialty.

CLIA Record

Field Name Field Value
CLIA Number 14D2077929
LAB Type Physician Office
Facility Name ACTIVE CARE CENTER S C
Street 609 NMAIN ST - STE 101
City MOUNT PROSPECT
State IL
ZIP 60056
Phone 847 670-1111
CertificateType 4
CertificateEffectiveDate 5/19/2022
CertificateExpirationDate 5/18/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024