Organization
ACTIVE LIVING CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP ANTHONY QUE D.C. (PRESIDENT)
(847) 551-4410
Entity
Organization
Contact information
Practice address
2259 RANDALL RD, CARPENTERSVILLE, IL 60110-3355
(847) 551-4410
(847) 551-4412
Mailing address
2259 RANDALL RD, CARPENTERSVILLE, IL 60110-3355
(847) 551-4410
(847) 551-4412
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
04/17/2008
Last updated
06/24/2015
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