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Organization
PRO-ACTIVE CHIROPRACTIC & PHYSIOTHERAPY
Active
Organization
PRO-ACTIVE CHIROPRACTIC & PHYSIOTHERAPY
Active
Other names
TRIFACTIVE Premium Sports Injury and Pain Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON JARED D.O. (CLINIC DIRECTOR)
(773) 697-4142
Entity
Organization
Contact information
Practice address
3430 N LINCOLN AVE, CHICAGO, IL 60657-1195
(773) 697-4142
Mailing address
3430 N LINCOLN AVE, CHICAGO, IL 60657-1195
(773) 697-4142
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
038011033
IL
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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