Organization
PROACTIVE SPORT & SPINE, SC
Active
Organization
PROACTIVE SPORT & SPINE, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY R. SCHWAN D.C. (CLINIC DIRECTOR/OWNER)
(847) 997-3380
Entity
Organization
Contact information
Practice address
3340 DUNDEE RD, SUITE 2C4, NORTHBROOK, IL 60062-2324
(224) 235-4651
(224) 235-4654
Mailing address
3340 DUNDEE RD, SUITE 2C4, NORTHBROOK, IL 60062-2324
(224) 235-4651
(224) 235-4654
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
038011182
IL
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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