Organization
ENERGIZE CHIROPRACTIC, PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY FORD (PRESIDENT)
(920) 562-2705
Entity
Organization
Contact information
Practice address
365 E BAILEY RD, NAPERVILLE, IL 60565-1415
(630) 536-8002
Mailing address
365 E BAILEY RD, NAPERVILLE, IL 60565-1415
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038012010
IL
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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