Organization
ACTIVE LIFE CHIROPRACTIC CENTER, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA JENDRA D.C. (OWNER)
(708) 403-9450
Entity
Organization
Contact information
Practice address
10761 163RD PL, ORLAND PARK, IL 60467-8861
(708) 403-9450
(708) 403-9488
Mailing address
10761 163RD PL, ORLAND PARK, IL 60467-8861
(708) 403-9450
(708) 403-9488
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
038008780
IL
Other
Enumeration date
05/30/2007
Last updated
09/06/2011
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