PRO-ACTIVE CARE PHYSICAL MEDICINE SC is a chiropractor in Chicago, 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. PRO-ACTIVE CARE PHYSICAL MEDICINE SC NPI is 1356600712. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
2609 W LAWRENCE AVE
CHICAGO, IL
ZIP 60625-895
Phone: (773) 279-9344
Fax: (773) 279-9345
The provider's authorized official is Rae Bouvin .
The authorized official title is P and has the following contact phone number (773) 279-9344.
The CLIA number assigned to this NPI record is 14D2122278 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/4/2012 and was last updated on 2/9/2016.