North Shore Pro-Active Health LLC

NPI #1780812784 in Libertyville, Illinois

Provider Information

NPI Number
1780812784
Entity Type
Organization
Organization Name
North Shore Pro-Active Health LLC
Primary Specialty
Chiropractor
Enumeration Date
Jun 29, 2009
Last Updated
Mar 3, 2015

Practice Location

Address
112 W LAKE ST
ZIP Code
60048-1812
Phone
(847) 362-4476

Authorized Official

Name
DR. JORDAN L LEASURE, DC
Title
DOCTOR
Phone
(847) 362-4476

Specialties & Taxonomy Codes

Specialty
Chiropractor

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