Active Life & Sports Chiropractic Llc

LBN: Active Life & Sports Chiropractic Llc
Active Life & Sports Chiropractic Llc is an health care organization with primary practice located at 929 S Main St Unit 107A, Lombard IL 60148-3325. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Active Life & Sports Chiropractic Llc can be contacted via phone (630) 519-6284, or through Frydrych, Frank W via phone (630) 519-6284.

Contact Information

Primary practice address
929 S Main St Unit 107A Lombard IL 60148-3325
Phone: (630) 519-6284
Fax: (866) 443-0749
Website:
Map and Directions
Authorized official contact:
Name: Frydrych, Frank W Doctor of Chiropractic (DC)
Phone: (630) 519-6284

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038011082 Illinois

Profile Details

NPI number 1154780617
LBN Legal business name Active Life & Sports Chiropractic Llc
DBA Doing business as
Authorized official Frydrych, Frank W Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2016
Last updated Feb 12th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154780617 NPPES
Illinois Other R00055 MEDICARE PTAN

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