Organization
PROACTIVE WELLNESS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL SPACCAPANICCIA DC (OWNER/CHIROPRACTOR)
(815) 725-8660
Entity
Organization
Contact information
Practice address
805 W JEFFERSON ST STE A, SHOREWOOD, IL 60404-7379
(815) 725-8660
Mailing address
805 W JEFFERSON ST STE A, SHOREWOOD, IL 60404-7379
(815) 725-8660
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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