Grand Clinic

LBN: Proactive Health Care
Grand Clinic is an health care organization with primary practice located at 2502 N Harlem Ave , Elmwood Park IL 60707-2020. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Proactive Health Care can be contacted via phone (708) 452-1220, or through Chen, David L via phone (708) 452-1220.

Contact Information

Primary practice address
2502 N Harlem Ave Elmwood Park IL 60707-2020
Phone: (708) 452-1220
Fax: (708) 452-6043
Website:
Map and Directions
Authorized official contact:
Name: Chen, David L Doctor of Chiropractic (DC)
Phone: (708) 452-1220

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Illinois

Profile Details

NPI number 1003039603
LBN Legal business name Proactive Health Care
DBA Doing business as Grand Clinic
Authorized official Chen, David L Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2007
Last updated Aug 22nd, 2020 - about 6 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 1003039603 NPPES
Illinois Other 1623729 BLUE CROSS BLUE SHIELD

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