Organization
CENTER FOR PROGRESSIVE NATURAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES E MCGINN JR. D.C. (OWNER)
(815) 455-1910
Entity
Organization
Contact information
Practice address
318 MEMORIAL DR, SUITE 200, CRYSTAL LAKE, IL 60014-6267
(815) 455-1910
(815) 455-2541
Mailing address
318 MEMORIAL DR, SUITE 200, CRYSTAL LAKE, IL 60014-6267
(815) 455-1910
(815) 455-2541
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04923223
BLUE CROSS BLUE SHIELD IL
IL
Enumeration date
02/16/2007
Last updated
01/25/2013
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