Organization
ACTIVE LIFE CHIROPRACTIC & MASSAGE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW SPICZENSKI DC (CO-OWNER/CHIROPRACTOR)
(740) 359-9560
Entity
Organization
Contact information
Practice address
209 MAIN STREET, UNIT E, MEAD, CO 80542
(970) 535-9900
Mailing address
520 W ALDINE AVE, 411, CHICAGO, IL 60657-3768
(740) 359-9560
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHR.0007418
IL
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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