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FORWARD LIVING LTD NPI 1184856973


NPI Information

NPI: 1184856973
Provider Name: FORWARD LIVING LTD

Doing Business As: FORWARD LIVING FAMILY CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
220 N ELDORADO RD
SUITE B
BLOOMINGTON, IL
ZIP 61704
Phone: (309) 664-0102
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FORWARD LIVING LTD is a chiropractor in Bloomington, IL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. FORWARD LIVING LTD NPI is 1184856973. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Forward Living Family Chiropractic.

The provider's business location address is:

220 N ELDORADO RD
SUITE B
BLOOMINGTON, IL
ZIP 61704-703
Phone: (309) 664-0102
Fax: (309) 664-0112

The provider's authorized official is James Brendan Parish .
The authorized official title is President and has the following contact phone number (309) 664-0102.

The enumeration date for this NPI number is 8/13/2009 and was last updated on 10/1/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor038011492ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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