PROACTIVE HEALTH CARE (NPI# 1003039603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003039603 |
| Entity Type | Organization |
| Organization Name | PROACTIVE HEALTH CARE |
| Other Organization Name | GRAND CLINIC |
| Practice Address |
2502 N Harlem Ave Elmwood Park IL 60707-2020 |
| Practice Telephone | 7084521220 |
| Practice Fax Number | 7084526043 |
| Mailing Telephone | 7084521220 |
| Mailing Fax Number | 7084526043 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DAVID L CHEN (CHIROPRACTIC PHYSICIAN) |
| Authorized Official Telephone | 7084521220 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 1623729 | 01 |
| Other Name | Type Code |
|---|---|
| Grand Clinic | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PROACTIVE HEALTH CARE MEDICINE, PLLC | 2090 Columbiana Road, Suite 4000, Birmingham, Al 35216 |
| Indiana Business Entities | PROACTIVE HEALTH CARE SOLUTIONS LLC | 3239 Hurst St, Whiteland, IN 46184 |
| Street Address |
2502 N HARLEM AVE |
| City | ELMWOOD PARK |
| State | IL |
| Zip Code | 60707-2020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427124767 | David L Chen | Chiropractor | 2502 N Harlem Ave, Elmwood Park, IL 60707-2020 | 2006-11-28 |
| 1811514086 | Bernadetta Martin | Massage Therapist | 2502 N Harlem Ave, Elmwood Park, IL 60707-2020 | 2020-07-02 |
| 1386948784 | Antonio F Pugliese | Acupuncturist | 2502 N Harlem Ave, Elmwood Park, IL 60707-2020 | 2010-12-29 |
| 1831339035 | Grand Harlem Medical Center, Urgent Care LLC | Chiropractor | 2502 N Harlem Ave, Elmwood Park, IL 60707-2020 | 2009-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679077408 | Karen Ennis, Slp, Inc. | Speech-Language Pathologist | 1709 73rd Ct, Elmood Park, IL 60707 | 2018-03-19 |
| 1518324995 | Dosha Grant | Registered Nurse | 2317 N Rutherford, Elmwood Park, IL 60707 | 2016-01-15 |
| 1962774794 | Oak Park Dental Group | Dentist | 7034 W. North Ave., Chicago, IL 60707 | 2012-02-09 |
| 1326277005 | Resurrection Services | Internal Medicine | 2433 North Harlem Ave, Ste 100, Chicago, IL 60707 | 2009-07-02 |
| 1134370059 | Mefagui Dental Office P.C. | Dentist | 6913 W. Grand Ave, Chicago, IL 60707 | 2008-10-09 |
| 1821265760 | Carly M. Smith | Chiropractor | 7716 W. North, Elmwood Pk, IL 60707 | 2008-05-09 |
| 1063695096 | Henry J. Hagopian D.d.s. P.C. | Dentist | 7518 W. North Avenue, Elmwood Park, IL 60707 | 2007-12-13 |
| 1386864411 | Brian M Caraba Dds PC | Dentist | 7124 W Diversey Ave, Chicago, IL 60707 | 2007-04-30 |
| 1104041243 | Clinics for Wellness and Neuropathy, LLC | Internal Medicine | 2333 N. Harlem, Chicago, IL 60707 | 2007-04-16 |
| 1972621050 | Sid Anderson | Psychologist | 2408 Westbrook Drive, Elmwood Park, IL 60707 | 2007-03-27 |
| Find all providers in zip 60707 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003852799 | Jeffrey M Smith | Chiropractor | 7716 W North Ave, Elmwood Park, IL 60707-4123 | 2006-06-21 |
| 1376048686 | Audrey Cox-kearins | Chiropractor | 7716 W North Ave, Elmwood Park, IL 60707-4123 | 2018-03-28 |
| 1801137120 | Chiropractic Family Health Clinic, LLC | Chiropractor | 35 W Conti Pkwy, Elmwood Park, IL 60707-4503 | 2013-03-12 |
| 1114125788 | Smith Chiropractic Health Care, Sc | Chiropractor | 7716 W North Ave, Elmwood Park, IL 60707-4123 | 2007-07-05 |
| 1689692535 | Michael Schill Jr. | Chiropractor | 511 Boulevard, Elmwood Park, NJ 07407 | 2006-07-18 |
| 1215977137 | Scott Eric Bensky | Chiropractor | 511 Boulevard, Elmwood Park, NJ 07407-2038 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861347 | Evan Charles Mojica | Chiropractor | 1803 W State St Ste 150, Geneva, IL 60134-3692 | 2020-11-06 |
| 1407454424 | Mikel Marshall | Chiropractor | 881 S Lorraine Rd Apt 103, Wheaton, IL 60189-6924 | 2020-10-12 |
| 1912505157 | David Anthony Wesdock | Chiropractor | 208 Parkinson St, Normal, IL 61761-3079 | 2020-10-10 |
| 1902403124 | Maranda Joe Humphreys | Chiropractor | 2150 Manchester Rd Ste 100, Wheaton, IL 60187-2474 | 2020-10-01 |
| 1023625654 | Kennedy Nicole Brauer | Chiropractor | 208 Flax Dr Ste 200, Highland, IL 62249-1394 | 2020-09-28 |
| 1649886730 | Simply Wellness Chiropractic, LLC | Chiropractor | 7117 Crimson Ridge Dr Ste 1, Rockford, IL 61107-6213 | 2020-09-23 |
| 1639785330 | Eve Marie Greenwell | Chiropractor | 143 N Henderson St, Mt Zion, IL 62549-1313 | 2020-09-17 |
| 1588279640 | Guadalupe Garcia | Chiropractor | 2745 Maple Ave Ste 2d, Lisle, IL 60532-3231 | 2020-09-14 |
| 1770197774 | Align Services Bloomington Pllc | Chiropractor | 2309 E Empire St Ste 200a, Bloomington, IL 61704-8636 | 2020-09-07 |
| 1881208080 | Christian James Koch | Chiropractor | 5100 N Ravenswood Ave Ste 107, Chicago, IL 60640-1710 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
| City | ELMWOOD PARK |
| Zip Code | 60707 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.