Organization Name: | 4PRO PHYSICAL THERAPY, LLC |
NPI Number: | 1326479767 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GABRIEL RIVERA (PRESIDENT) |
Mailing Address: | 571 Main St West Chicago |
State: | IL US |
Postal Code: | 601852842 |
Phone Number: | 6305200840 |
Fax Number: | |
NPI Enumeration Date: | 12/11/2013 |
NPI Last Update Date: | 12/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |