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Organization
PROACTIVE HEALTH CARE
Active
Organization
PROACTIVE HEALTH CARE
Active
Other names
Grand Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID L CHEN DC (CHIROPRACTIC PHYSICIAN)
(708) 452-1220
Entity
Organization
Contact information
Practice address
2502 N HARLEM AVE, ELMWOOD PARK, IL 60707-2020
(708) 452-1220
(708) 452-6043
Mailing address
2502 N HARLEM AVE, ELMWOOD PARK, IL 60707-2020
(708) 452-1220
(708) 452-6043
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1623729
BLUE CROSS BLUE SHIELD
IL
Enumeration date
04/11/2007
Last updated
08/22/2020
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