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
- City
- Libertyville
- State
- Illinois
- 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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